Individual
KAREN ELIZABETH LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1616 ROSE AVE, MAMARONECK, NY 10543-3132
(203) 979-5463
Mailing address
1616 ROSE AVE, MAMARONECK, NY 10543-3132
(203) 979-5463
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-388095
NY
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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