Individual
CARLOS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5820 SW 33RD ST, MIAMI, FL 33155-4904
(786) 250-7131
Mailing address
5820 SW 33RD ST, MIAMI, FL 33155-4904
(786) 250-7131
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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