Juan Vasquez

NPI #1255082541 in Jackson, Michigan

Provider Information

NPI Number: 1255082541
Entity Type: Individual
Name: Juan Vasquez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 18, 2022
Last Updated: Jan 18, 2022

Practice Location

Address: 818 WINIFRED ST
City: Jackson
State: Michigan
ZIP Code: 49202-3062
Phone: (517) 513-3617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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