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Anthony Vasquez

Behavior Technician in San Bernardino, CA. Individual provider (NPI-1).

NPI number1174479679
StatusActive
Last updated in NPPESMar 6, 2026

Details

NPI
1174479679
Entity type
Individual (NPI-1)
Name
Anthony Vasquez
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 6, 2026
Certification date
Mar 6, 2026
Last updated
Mar 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

1900 N D St
San Bernardino, CA 92405-3912

Phone 909-755-5220

Mailing address

2016 Date Tree Rd
Colton, CA 92324-7404

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