Individual
MISS KIARA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 AVIATION RD, QUEENSBURY, NY 12804-8288
(518) 798-0170
(518) 798-0170
Mailing address
43 GRANT AVE, GLENS FALLS, NY 12801-2609
(347) 340-0518
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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