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NPI Code Detail

MEDICARE: VANESSA VEGA

MEDICARE: VANESSA VEGA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1720938277
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA VEGA
Provider Business Mailing Address
First Line : 7500 SAN FELIPE ST STE 990
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1708
Country : US
Telephone Number : 866-610-0580
Fax Number :
Provider Business Practice Location Address
First Line : 4170 N 108TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-5469
Country : US
Telephone Number : 480-751-1957
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/09/2026

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Directions to “ VANESSA VEGA ” Practice Location

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