Individual
NATHALLIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6300 KINGERY HWY STE 102, WILLOWBROOK, IL 60527-2250
(815) 469-1500
Mailing address
1900 SAPPHIRE LN, AURORA, IL 60506-1633
(630) 962-9155
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
08/24/2022
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