Individual
BIANCA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7376 LAKE WORTH RD, LAKE WORTH, FL 33467-2529
(561) 788-4086
Mailing address
7376 LAKE WORTH RD, LAKE WORTH, FL 33467-2529
(561) 788-4086
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
SZ12237
FL
Other
Enumeration date
09/15/2020
Last updated
11/11/2024
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