Individual
ISHALY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 S A ST, TAFTVILLE, CT 06380-1415
(860) 389-1726
Mailing address
8 S A ST, TAFTVILLE, CT 06380-1415
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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