Individual
AVERY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4625 W KL AVE, KALAMAZOO, MI 49006-6209
(269) 352-3082
Mailing address
1329 ALIVIA DR, PLAINWELL, MI 49080-1446
(269) 352-3082
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
04/04/2024
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