Individual
YELENNY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
13 CALLE DUQUE DE KENT, GUAYNABO, PR 00969-5322
(786) 370-2110
Mailing address
1631 NW 29 CORT, MIAMI, FL 33125-5043
(863) 702-1107
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42455
FL
Other
Enumeration date
06/12/2015
Last updated
06/09/2020
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