Individual
SUSAN MARIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6637 PAINTED MORNING AVE, LAS VEGAS, NV 89142-3627
(702) 813-7960
Mailing address
6637 PAINTED MORNING AVE, LAS VEGAS, NV 89142-3627
(702) 813-7960
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
01/29/2016
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