Individual
AIDEE A LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 FAIRWAY DR. STE 101, DEERFIELD BEACH, FL 33441
(866) 530-5601
Mailing address
9008 FRANCIA TRL, AUSTIN, TX 78748-1627
(512) 971-2705
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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