Individual
MARIA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
6926 NE FRTH PLN BLVD, VANCOUVER, WA 98661-7254
(360) 993-3000
Mailing address
6926 NE FRTH PLN BLVD, VANCOUVER, WA 98661-7254
(360) 993-3000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
08/11/2021
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