Individual
SHAKIRA AVILA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16140 NW 83RD PL, MIAMI LAKES, FL 33016-6689
(305) 834-5050
Mailing address
16140 NW 83RD PL, MIAMI LAKES, FL 33016-6689
(305) 834-5050
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
06/03/2024
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