Individual
AIDA LOPEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1666 NW 8TH TER, HOMESTEAD, FL 33030-4021
(786) 423-5320
Mailing address
1666 NW 8TH TER, HOMESTEAD, FL 33030-4021
(786) 423-5320
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
2439341
FL
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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