Provider Demographics
NPI:1205426855
Name:ALECH VAZQUEZ, CHABELI ANA
Entity type:Individual
Prefix:
First Name:CHABELI
Middle Name:ANA
Last Name:ALECH VAZQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 NW 10TH ST UNIT 7
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2898
Mailing Address - Country:US
Mailing Address - Phone:786-613-5249
Mailing Address - Fax:
Practice Address - Street 1:8020 NW 10TH ST UNIT 7
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2898
Practice Address - Country:US
Practice Address - Phone:786-613-5249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
FL1-24-71129103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician