Individual
DORA MARIA ARTILES LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27501 S DIXIE HWY STE 200, HOMESTEAD, FL 33032-8219
(786) 601-2608
Mailing address
9407 SW 221ST LN, CUTLER BAY, FL 33190-1472
(786) 747-1978
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-11934
FL
106S00000X
Behavior Technician
18-67268
FL
Other
Enumeration date
08/16/2019
Last updated
04/06/2021
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