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NPI Code Detail

MEDICARE: GIOVANI ENRIQUE VAQUERANO BCBA

MEDICARE: GIOVANI ENRIQUE VAQUERANO BCBA
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
1103K00000XBehavior Analyst1-26-87241CA

General Provider Information

NPI Number : 1740135268
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIOVANI ENRIQUE VAQUERANO BCBA
Provider Business Mailing Address
First Line : 3745 LONG BEACH BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-3340
Country : US
Telephone Number : 310-787-9334
Fax Number :
Provider Business Practice Location Address
First Line : 3745 LONG BEACH BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-3340
Country : US
Telephone Number : 310-787-9334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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