Individual
ISABELA MAURISA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6001 SONORA AVE NW, ALBUQUERQUE, NM 87120-4812
(505) 417-3916
Mailing address
6001 SONORA AVE NW, ALBUQUERQUE, NM 87120-4812
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
02/08/2019
Last updated
08/09/2020
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