Efrain Vazquez
Counselor Behavior Technician
345a Greenwood St
Worcester
, Massachusetts 01607-1753
Efrain Vazquez
Counselor Behavior Technician
345a Greenwood St
Worcester
, Massachusetts 01607-1753
(508) 363-0200
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About
Features
Specialties
- Counselor
- Behavior Technician
Languages spoken
- English
Location
First Address
- Efrain Vazquez
- 345a Greenwood St
- Worcester, MA
- Zip : 01607-1753
- Phone : (508) 363-0200
Second Address
- Efrain Vazquez
- 345a Greenwood St
- Worcester, MA
- Zip : 01607-1753
- Phone : (508) 363-0200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | ||
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003204363 |
|---|---|
| Provider Name | Efrain Vazquez |
| First Address | Worcester, MA 01607-1753 |
| Second Address | Worcester, MA 01607-1753 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2015 |
| Last Update Date | 20/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1303295 | (05) | MA |
| 1307576 | (05) | MA |
| M18463 | BLUE CROSS BLUE SHIELD (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.