Individual
LILY LOPEZ-MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 PASEO DEL PRADO STE C307, LAS VEGAS, NV 89102-0076
(725) 600-7953
Mailing address
3872 SIR BRET CT, LAS VEGAS, NV 89104-5052
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
10/30/2019
Last updated
06/23/2022
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