Individual
MS. MIGDALIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
170 AVENUE C, APT# 10B, NEW YORK, NY 10009-4206
(917) 402-4674
Mailing address
170 AVENUE C, APT# 10B, NEW YORK, NY 10009-4206
(917) 402-4674
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
479743
NY
222Q00000X
Developmental Therapist
Primary
479743
NY
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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