Healthcare Provider Details

I. General information

NPI: 1578475679
Provider Name (Legal Business Name): EMILY TAPIA VASQUEZ RBT-26-505871
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 W WALL ST STE 200
GRAPEVINE TX
76051-5285
US

IV. Provider business mailing address

1829 SCHOOL RD
CARROLLTON TX
75006-7541
US

V. Phone/Fax

Practice location:
  • Phone: 214-563-5909
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-505871
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: