Individual
JENNIFER ROXANNE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
13838 S 46TH PL STE 1626, PHOENIX, AZ 85044-7800
(480) 550-9396
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(833) 288-4761
(480) 716-8949
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-21006
BCBA CERTIFICATE
—
Enumeration date
12/01/2015
Last updated
05/14/2026
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