Carolina Vasquez

Individual provider Active NPI Behavior Technician · Spotswood, NJ

NPI 1164059333 · NPPES record last updated Jun 25, 2020

Key facts

NPI
1164059333
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
23 Manalapan Rd
Spotswood, NJ 08884-1658
Phone
(908) 217-9726
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Friends of Cyrus Inc Past
since Jun 28, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

23 Manalapan Rd
Spotswood, NJ 08884-1658

Mailing address

23 Manalapan Rd
Spotswood, NJ 08884-1658

Other providers in Spotswood, NJ

All providers in Spotswood, NJ · Behavior Technician in New Jersey

Sources for this page

Verify at the official NPI Registry.