Most Relevant Information
Provider Data
| NPI Number: | 1003665639 |
| Provider Name: | KEVIN ALEXANDER VASQUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/15/2024 |
| Last Updated: | 05/15/2024 |
Provider Practice Location
3145 CENTER POINT DR
EDINBURG
TX
785398433
Practice Location Phone/Fax
| Phone: | 9563225647 |
| Fax: |
Provider Mailing Location
300 INTERNATIONAL PKWY STE 200
LAKE MARY
FL
327465028
Provider Mailing Phone/Fax
| Phone: | 8666100580 |
| Fax: |