Individual
MRS. DAYSAUNDRA RENEA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3575 MACON RD STE 17&18, COLUMBUS, GA 31907-8200
(706) 221-5253
Mailing address
3575 MACON RD STE 18&19, COLUMBUS, GA 31907-8200
(706) 221-5253
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-280111
GA
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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