Wellington Enrique Vasquez

NPI #1003358003 in Miramar, Florida

Provider Information

NPI Number: 1003358003
Entity Type: Individual
Name: Wellington Enrique Vasquez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 8, 2016
Last Updated: Nov 8, 2016

Practice Location

Address: 9577 SW 41ST ST
Address 2: APT. # 108
City: Miramar
State: Florida
ZIP Code: 33025-7347
Phone: (786) 315-7915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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