Individual
ALEXANDER LOPEZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8040 NW 155TH ST, MIAMI LAKES, FL 33016-5880
(305) 827-2822
Mailing address
2980 NW 99TH ST, MIAMI, FL 33147-2030
(904) 302-1583
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT--20-119436
FL
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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