Individual
LIZETH PAOLA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 WASHINGTON AVE APT C3, ELIZABETH, NJ 07202-3360
(929) 365-0826
Mailing address
324 WASHINGTON AVE APT C3, ELIZABETH, NJ 07202-3360
(929) 365-0826
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-21-196223
NJ
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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