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Individual

KARLA REBECA RIVERA LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2546 WILEY CT, HOLLYWOOD, FL 33020-5856
(786) 282-6429
Mailing address
2546 WILEY CT, HOLLYWOOD, FL 33020-5856

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
FL
106S00000X
Behavior Technician
Primary
222Q00000X
Developmental Therapist
Primary
FL

Other

Enumeration date
10/14/2021
Last updated
01/14/2026
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