Mary Jane Vincenzo

NPI #1659874378 in Irving, Texas

Provider Information

NPI Number: 1659874378
Entity Type: Individual
Name: Mary Jane Vincenzo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 9, 2018
Last Updated: Mar 9, 2018

Practice Location

Address: 400 E ROYAL LN BLDG 3
City: Irving
State: Texas
ZIP Code: 75039-3540
Phone: (855) 832-6727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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