Individual
ASHEIKA ANTOINETTE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 WINDING BROOK DR STE 1040, GLASTONBURY, CT 06033-4337
(860) 362-0225
Mailing address
655 WINDING BROOK DR STE 1040, GLASTONBURY, CT 06033-4337
(860) 362-0225
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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