Individual
BORIS LEYVA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
230 W DEL MONTE AVE, CLEWISTON, FL 33440-5204
(305) 803-0399
Mailing address
230 W DEL MONTE AVE, CLEWISTON, FL 33440-5204
(305) 803-0399
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-29228
FL
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
0199838
—
106S00000X
Behavior Technician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1-22-29228
—
FL
Enumeration date
03/05/2018
Last updated
08/04/2025
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