Lairen Michele Vasquez | Moreno Valley, CA • PECOS Search

Lairen Michele Vasquez

Behavior Technician

Behavioral Health & Social Service Providers

12125 Day St, Moreno Valley, CA 92557-6702

(951) 344-2166 (818) 345-2345

PECOS Enrollment

Based on the most recent information from CMS, provider Lairen Michele Vasquez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1134836208
Provider Type
Individual
Full Name
Vasquez, Lairen Michele
Gender
Female

Sole Proprietor
No
Enumeration Date
10/28/2022
Last Updated
11/21/2022

Contact Information

Practice Location

12125 Day St, Moreno Valley, CA 92557-6702

Unlisted Fax

Mailing Location

21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807

(000) 000-0000

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer