Individual
ADALI V LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
618 SW 4TH ST, CAPE CORAL, FL 33991-1900
(786) 909-8305
Mailing address
618 SW 4TH ST, CAPE CORAL, FL 33991-1900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-324049
FL
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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