Individual
JUSTIN LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
26 BROAD ST # 1, MILFORD, CT 06460-3350
(203) 283-7027
Mailing address
26 BROAD ST # 1, MILFORD, CT 06460-3350
(203) 283-7027
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24090
CT
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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