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Individual

WALTER JOSHUA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(305) 898-6636
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
FL
106S00000X
Behavior Technician

Other

Enumeration date
03/30/2022
Last updated
03/27/2024
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