Most Relevant Information
Provider Data
| NPI Number: | 1003446055 |
| Provider Name: | REBECCA VASQUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/17/2020 |
| Last Updated: | 01/17/2020 |
Provider Practice Location
1479 SARATOGA AVE
SAN JOSE
CA
951294934
Practice Location Phone/Fax
| Phone: | 8779910009 |
| Fax: | 8182416853 |
Provider Mailing Location
1055 E COLORADO BLVD STE 560
PASADENA
CA
911062380
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |