Individual
AMAREYE TOLOSA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15045 SW 297TH TER, MIAMI, FL 33033-3751
(786) 306-9496
Mailing address
15045 SW 297TH TER, MIAMI, FL 33033-3751
(786) 306-9496
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-382906
FL
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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