Individual
AMANDA LYNN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8950 SW 74TH CT STE 2201, MIAMI, FL 33156-3181
(888) 754-0398
Mailing address
24 HILLTOP LN, WEST HAVEN, CT 06516-4807
(203) 815-5546
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-107546
CT
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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