Individual
CRYSTAL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 NATALIE WAY, PLYMOUTH, MA 02360-3557
(508) 858-5991
Mailing address
447 COGGESHALL ST, NEW BEDFORD, MA 02746-1668
(508) 863-2731
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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