Provider Demographics
NPI:1518012830
Name:OLGA B. VASQUEZ DBA ONE FOR AUTISM
Entity Type:Organization
Organization Name:OLGA B. VASQUEZ DBA ONE FOR AUTISM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:BERENICE
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:210-680-8737
Mailing Address - Street 1:12003 HUEBNER RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-1203
Mailing Address - Country:US
Mailing Address - Phone:210-680-8737
Mailing Address - Fax:210-696-6600
Practice Address - Street 1:12003 HUEBNER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1203
Practice Address - Country:US
Practice Address - Phone:210-680-8737
Practice Address - Fax:210-696-6600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty