Most Relevant Information
Provider Data
| NPI Number: | 1003564832 |
| Provider Name: | ARACELIS VAZQUEZ ORTIZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 21-170640 |
Most Important Dates
| Enumeration Date: | 03/10/2022 |
| Last Updated: | 03/10/2022 |
Provider Practice Location
5000 SW 207TH TER
SOUTHWEST RANCHES
FL
333321547
Practice Location Phone/Fax
| Phone: | 9543150770 |
| Fax: |
Provider Mailing Location
7108 S KANNER HWY
STUART
FL
349977462
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |