Individual
ANA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13205 SW 137TH AVE STE 22, MIAMI, FL 33186-5331
(305) 200-6241
Mailing address
15344 SW 17TH TER, MIAMI, FL 33185-5892
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
FL
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
09/20/2017
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