Most Relevant Information
Provider Data
| NPI Number: | 1003358003 |
| Provider Name: | WELLINGTON ENRIQUE VASQUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-16-22972 |
Most Important Dates
| Enumeration Date: | 11/08/2016 |
| Last Updated: | 11/08/2016 |
Provider Practice Location
9577 SW 41ST ST
APT. # 108
MIRAMAR
FL
330257347
Practice Location Phone/Fax
| Phone: | 7863157915 |
| Fax: |
Provider Mailing Location
9577 SW 41ST ST
APT. # 108
MIRAMAR
FL
330257347
Provider Mailing Phone/Fax
| Phone: | 7863157915 |
| Fax: |