Individual
EVA M LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4866 W 135TH ST, LEAWOOD, KS 66224-8715
(832) 439-1896
Mailing address
15898 W 158TH ST, OLATHE, KS 66062-6786
(913) 337-4414
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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