Most Relevant Information
Provider Data
| NPI Number: | 1003542036 |
| Provider Name: | WENDY JACQUELINE VELAZQUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/01/2022 |
| Last Updated: | 08/01/2022 |
Provider Practice Location
801 CORPORATE CENTER DR STE 210
POMONA
CA
917682627
Practice Location Phone/Fax
| Phone: | 9096180974 |
| Fax: |
Provider Mailing Location
801 CORPORATE CENTER DR STE 210
POMONA
CA
917682627
Provider Mailing Phone/Fax
| Phone: | 9096180974 |
| Fax: |