Individual
MRS. EMILY MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3S140 BARKLEY AVE, WARRENVILLE, IL 60555-1505
(630) 425-3183
Mailing address
2262 EMERALD LN, YORKVILLE, IL 60560-3042
(815) 274-9448
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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