Individual
SAMANTHA M LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1069 HEMPSTEAD TPKE # 1, FRANKLIN SQUARE, NY 11010-2631
(516) 865-1146
Mailing address
10 BOBLEE LN, HICKSVILLE, NY 11801-1747
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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