Individual
SOL ANGEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
450 N PARK RD STE 400, HOLLYWOOD, FL 33021-6918
(954) 925-3191
(954) 925-3193
Mailing address
10820 NW 21ST CT, SUNRISE, FL 33322-3412
(786) 352-7826
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/20/2020
Last updated
01/09/2021
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