Individual
JABEAU LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 PALISADE AVE, UNION CITY, NJ 07087-4124
(551) 574-2974
Mailing address
706 PALISADE AVE, APT 4., UNION CITY, NJ 07087-4124
(702) 496-4605
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
10/29/2021
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