Most Relevant Information
Provider Data
| NPI Number: | 1003420654 |
| Provider Name: | JACQUELINE VAZQUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/01/2020 |
| Last Updated: | 09/10/2020 |
Provider Practice Location
21600 OXNARD ST STE 1030
WOODLAND HILLS
CA
913675085
Practice Location Phone/Fax
| Phone: | 8185736822 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST STE 1030
WOODLAND HILLS
CA
913675085
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |