MEDICARE: AARON VASQUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	373H00000X	Day Training/Habilitation Specialist		CA
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1295618890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON VASQUEZ

Provider Business Mailing Address
First Line	:	762 CYPRESS ST
Second Line	:
City	:	SAN DIMAS
State	:	CA
Zip	:	91773-3505
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	762 CYPRESS ST
Second Line	:
City	:	SAN DIMAS
State	:	CA
Zip	:	91773-3505
Country	:	US
Telephone Number	:	909-599-1227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2025
Last Update Date	:	01/23/2026

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Directions to “ AARON VASQUEZ ” Practice Location

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