Individual
OLGA TATIANA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8715 37TH AVE, APT 1A, JACKSON HEIGHTS, NY 11372-7701
(917) 319-4217
Mailing address
8715 37TH AVE, APT 1A, JACKSON HEIGHTS, NY 11372-7701
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/06/2016
Last updated
11/06/2016
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