Provider Demographics
NPI:1881481935
Name:VASQUEZ, CEANA LAUREN
Entity type:Individual
Prefix:
First Name:CEANA
Middle Name:LAUREN
Last Name:VASQUEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6220 ALDER DR APT 3962
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-4052
Mailing Address - Country:US
Mailing Address - Phone:210-955-3735
Mailing Address - Fax:
Practice Address - Street 1:12289 W HOUSTON CENTER BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2899
Practice Address - Country:US
Practice Address - Phone:281-589-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst