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Individual

ARLENE PITA LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2913 UTOPIA DR, MIRAMAR, FL 33023-5860
(786) 203-3715
Mailing address
2913 UTOPIA DR, MIRAMAR, FL 33023-5860
(786) 203-3715

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56165
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021674800
FL
Enumeration date
04/16/2018
Last updated
01/11/2022
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