Individual
ANNIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 FOREST HILL BLVD STE 3, WEST PALM BEACH, FL 33406-6031
(561) 444-2814
(561) 444-2458
Mailing address
3518 OLD LIGHTHOUSE CIR, WELLINGTON, FL 33414-8841
(786) 953-3890
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50939
FL
106S00000X
Behavior Technician
RBT-19-97153
FL
Other
Enumeration date
09/25/2019
Last updated
02/15/2022
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