Individual
ANA L LOPEZ SANTIBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2075 SW 122ND AVE, MIAMI, FL 33175-7375
(786) 792-7160
Mailing address
2075 SW 122ND AVE, MIAMI, FL 33175-7375
(786) 792-7160
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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