Most Relevant Information
Provider Data
| NPI Number: | 1003406281 |
| Provider Name: | OFELIA VELAZQUEZ CHAVEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/21/2021 |
| Last Updated: | 01/21/2021 |
Provider Practice Location
3616 118TH STREET CT NW
GIG HARBOR
WA
983326867
Practice Location Phone/Fax
| Phone: | 3035980465 |
| Fax: |
Provider Mailing Location
4316 W SAW BLADE LN APT 201
COEUR D ALENE
ID
838140012
Provider Mailing Phone/Fax
| Phone: | 5098607500 |
| Fax: |