Individual
JAMISON M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4227 SW 186TH AVE, MIRAMAR, FL 33029-2773
(954) 644-2904
Mailing address
4227 SW 186TH AVE, MIRAMAR, FL 33029-2773
(954) 644-2904
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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