Individual
CALEB LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4528 PLANK RD STE A3, FREDERICKSBURG, VA 22407-0141
(540) 755-2937
Mailing address
4528 PLANK RD STE A3, FREDERICKSBURG, VA 22407-0141
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-77089
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/17/2022
Last updated
11/04/2024
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