Individual
ANA YSABEL ESTEFANIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11201 NW 83RD ST APT 205, DORAL, FL 33178-1748
(305) 804-1470
Mailing address
11201 NW 83RD ST APT 205, DORAL, FL 33178-1748
(305) 804-1470
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-332036
FL
Other
Enumeration date
03/18/2024
Last updated
01/29/2025
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