Provider Demographics
NPI:1659117463
Name:ESCALONA VAZQUEZ, ARLETI
Entity type:Individual
Prefix:
First Name:ARLETI
Middle Name:
Last Name:ESCALONA 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 1:9001 SW 138TH ST APT C
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7160
Mailing Address - Country:US
Mailing Address - Phone:305-302-0014
Mailing Address - Fax:
Practice Address - Street 1:9001 SW 138TH ST APT C
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-7160
Practice Address - Country:US
Practice Address - Phone:305-302-0014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician