Individual
MS. KIMBERLY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
445 E DUBLIN GRANVILLE RD, BLDG G, WORTHINGTON, OH 43085
(800) 409-2729
Mailing address
3369 TAMARACK AVE, SPRINGFIELD, OH 45502-7450
(800) 409-2729
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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