Individual
SANDRA CAROLINA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 LEXINGTON ST, NEWARK, NJ 07105-3627
(973) 732-8068
Mailing address
324 WASHINGTON AVE APT C3, ELIZABETH, NJ 07202-3360
(929) 888-2152
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
1-20-40938
NJ
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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