Gabriella Yvette Vazquez
Individual provider Active NPI Behavior Technician · Dinwiddie, VA
NPI 1013575208 · NPPES record last updated Jun 3, 2019
Key facts
- NPI
- 1013575208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 12318 Boydton Plank Rd
Dinwiddie, VA 23841-2454 - Phone
- (757) 812-1085
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
12318 Boydton Plank Rd
Dinwiddie, VA 23841-2454
Mailing address
122 Brightwood Ter
Yorktown, VA 23690-3517
Phone (757) 812-1085
Other providers in Dinwiddie, VA
- Southern Dominion Health System, Inc.
- Southern Dominion Health System, Inc.
- Larina Space
- Elizabeth Stanley
- Tug Squared
- We Care Services, LLC
- Sterling White
- Janay Williams
- Scheniqua Lakai Woodside
- Jamonica Renee Worsham
All providers in Dinwiddie, VA · Behavior Technician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.