Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | Y4748328 | CA |
NPI | 1063054419 |
---|---|
Provider Name | Julia Elena Vasquez |
First Address | Bakersfield, CA 93313-4229 |
Second Address | Bakersfield, CA 93313-4229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2019 |
Last Update Date | 16/10/2019 |