Vasquez, Jennifer Roxanne
Vasquez, Jennifer Roxanne is an individual health care provider with primary practice located at 2730 S Val Vista Dr Bldg 4 , Gilbert AZ 85295-1675. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Vasquez, Jennifer Roxanne can be contacted via phone (480) 608-4640.Contact Information
Primary practice address
2730 S Val Vista Dr Bldg 4
Gilbert AZ 85295-1675
Phone: (480) 608-4640
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1992170047 |
|---|---|
| LBN Legal business name | Vasquez, Jennifer Roxanne |
| Credentials | M.S., BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2015 |
| Last updated | Mar 8th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992170047 | NPPES |
| Other | 1-15-21006 | BCBA CERTIFICATE |
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