Individual
ELIZA G LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 GREEN AVE, WESTFIELD, MA 01085-2817
(413) 218-1521
Mailing address
9 GREEN AVE, WESTFIELD, MA 01085-2817
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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