Vazquez, Efrain

Vazquez, Efrain is an individual health care provider with primary practice located at 345A Greenwood St , Worcester MA 01607-1753. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Vazquez, Efrain can be contacted via phone (508) 363-0200.

Contact Information

Primary practice address
345A Greenwood St Worcester MA 01607-1753
Phone: (508) 363-0200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1003204363
LBN Legal business name Vazquez, Efrain
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2015
Last updated May 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003204363 NPPES
Massachusetts MEDICAID 1307576
Massachusetts Other M18463
Massachusetts MEDICAID 1303295

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