Individual
ANGEL ALBERTO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1345 MENDOTA HEIGHTS RD STE 400, MENDOTA HEIGHTS, MN 55120-2007
(651) 431-6628
(919) 561-6612
Mailing address
382 NE 191ST ST STE 98090, MIAMI, FL 33179-3899
(651) 431-6628
(919) 561-6612
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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