Individual
ALIYAH CHANTEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 UPPER HEMBREE RD STE D, ROSWELL, GA 30076-4611
(470) 387-0593
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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