Individual
ANAIS ESTEPHANIA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2432 WEBB AVE APT 2C, BRONX, NY 10468-4838
(646) 737-6737
Mailing address
2432 WEBB AVE APT 2C, BRONX, NY 10468-4838
(646) 737-6737
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
957399717
DRIVER LICENSE
NY
Enumeration date
07/26/2023
Last updated
07/27/2023
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