Individual
YUDEISY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20086 NW 36TH CT, MIAMI GARDENS, FL 33056-1771
(786) 222-8940
Mailing address
20086 NW 36TH CT, MIAMI GARDENS, FL 33056-1771
(786) 222-8940
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
RBT-18-63494
FL
106S00000X
Behavior Technician
—
FL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
09/05/2023
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