Individual
CAMILLE TERESE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
657 SOUTH DR STE 403, MIAMI SPRINGS, FL 33166-5926
(786) 860-5161
Mailing address
1321 SW 126TH PL, MIAMI, FL 33184-2311
(305) 213-2264
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30064
FL
Other
Enumeration date
01/06/2017
Last updated
04/03/2023
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