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Individual

ALAN LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1765 SW CAPTAINS PL, PALM CITY, FL 34990-1747
(772) 266-8727
(772) 494-7093
Mailing address
4181 BOUGAINVILLEA ST, WEST PALM BEACH, FL 33406-4810

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
FL

Other

Enumeration date
10/29/2024
Last updated
10/29/2024
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