Individual
CHRISTINA LOPEZ MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, CCC-SLP, M.S
Contact information
Practice address
940 WEST FM 544 #1782, WYLIE, TX 75098
(972) 379-8379
Mailing address
940 W FM 544 #1782, WYLIE, TX 75098-3278
(972) 379-8379
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-09-5783
OK
103K00000X
Behavior Analyst
1-09-5783
TX
103K00000X
Behavior Analyst
1079
TX
235Z00000X
Speech-Language Pathologist
Primary
102715
TX
235Z00000X
Speech-Language Pathologist
3561
OK
Other
Enumeration date
06/27/2008
Last updated
04/18/2023
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