Individual
DR. ADRIANA GONZALEZ-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., BCBA-D, LBS
Contact information
Practice address
103 EATON DR, WAYNE, PA 19087-3856
(610) 937-0885
Mailing address
103 EATON DR, WAYNE, PA 19087-3856
(610) 937-0885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002817
PA
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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