Provider Demographics
NPI:1699208769
Name:VAZQUEZ, CLAUDE (RBT-15-09216)
Entity Type:Individual
Prefix:
First Name:CLAUDE
Middle Name:
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:RBT-15-09216
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14138 SW 166TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-2086
Mailing Address - Country:US
Mailing Address - Phone:786-209-8609
Mailing Address - Fax:
Practice Address - Street 1:14138 SW 166TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-2086
Practice Address - Country:US
Practice Address - Phone:786-209-8609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-15-09216106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician