Individual
BRIAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD BCBA
Contact information
Practice address
8500 WASHINGTON ST NE, STE A1, ALBUQUERQUE, NM 87113-1846
(505) 828-3837
(877) 828-1550
Mailing address
8500 WASHINGTON ST NE, STE A1, ALBUQUERQUE, NM 87113-1846
(505) 828-3837
(877) 828-1550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-22964
NM
103T00000X
Psychologist
Primary
0877
NM
Other
Enumeration date
08/02/2006
Last updated
10/18/2016
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