Stephany Vazquez Caraballo, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA21669 Issued in FL

Practice address

5103 Star Ruby Ave
Saint Cloud, FL 34771-8561

Phone

(321) 437-8370

NPI assigned

Sep 5, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1225814387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 STAR RUBY AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347718561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 STAR RUBY AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347718561",
            "telephone_number": "321-437-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ CARABALLO",
        "first_name": "STEPHANY",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA21669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmine Nicole Vargas, BCBA
• Sarah Jeannette Vasquez-Ramos
• Casandra Vasquez, LMHC
• Mayra Elizabeth Vasquez
• Matthew Vaughn, PA-C
• Ivette Luz Vazquez
• Yolimar Vazquez, SLPA
• Madeline Vega Berrios, REGISTER NURSE
• Agustin Vega Santiago, M.D.
• Amelia Vega

• Speech-Language Pathologist in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.