Provider Demographics
NPI:1902690175
Name:VAZQUEZ HERRERA, ADAYNERYS (RBT 25407922)
Entity type:Individual
Prefix:
First Name:ADAYNERYS
Middle Name:
Last Name:VAZQUEZ HERRERA
Suffix:
Gender:
Credentials:RBT 25407922
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1648 SW 138TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7537
Mailing Address - Country:US
Mailing Address - Phone:786-354-7821
Mailing Address - Fax:
Practice Address - Street 1:1648 SW 138TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-7537
Practice Address - Country:US
Practice Address - Phone:786-354-7821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25407922106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician