Individual
YAIXSA VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
174 ALLYN ST, HOLYOKE, MA 01040-2550
(203) 565-1012
Mailing address
48 HULL ST, WATERBURY, CT 06706-1824
(203) 565-1012
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
247200000X
MA
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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