Individual
ALLAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10550 NW 77TH CT STE 313-314, HIALEAH GARDENS, FL 33016-7084
(305) 825-4320
Mailing address
9403 FONTAINEBLEAU BLVD APT 104, MIAMI, FL 33172-5678
(561) 809-3716
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
04/06/2017
Last updated
05/20/2019
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