Individual
JOHNUTHUN GARCIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1840 N 95TH AVE STE 140, PHOENIX, AZ 85037-4446
(623) 264-8188
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-350006
AZ
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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