Individual
ERCILIA LOPEZ MEJIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435A EFFINGHAM AVE, BRONX, NY 10473-1610
(929) 330-6007
Mailing address
435A EFFINGHAM AVE, BRONX, NY 10473-1610
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/09/2015
Last updated
03/10/2023
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