Individual
MR. ALBERTO RAFAEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6551 SW 93RD PL, MIAMI, FL 33173-2356
(786) 495-2308
Mailing address
6551 SW 93RD PL, MIAMI, FL 33173-2356
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-355256
FL
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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