Individual
AALIYAH EMILY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5022 BROADWAY ST., PEARLAND, TX 77581
(832) 717-2870
Mailing address
5022 BROADWAY ST., PEARLAND, TX 77581
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB952623
TX
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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