Individual
ANA L LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13911 N DALE MABRY HWY STE 108, TAMPA, FL 33618-2414
(813) 784-3619
(813) 305-7033
Mailing address
402 W JERSEY AVE, BRANDON, FL 33510-3029
(402) 705-9965
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-383470
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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