Individual
REBECA LOPEZ FUSTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8884 W 35TH WAY, HIALEAH, FL 33018-1889
(305) 967-5618
Mailing address
6361 COW PEN RD APT T212, MIAMI LAKES, FL 33014-2208
(305) 321-2342
(305) 742-2190
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
Primary
0-19-10346
FL
Other
Enumeration date
07/19/2017
Last updated
10/14/2024
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