Individual
ANDREA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 NW FEDERAL HWY STE 173, STUART, FL 34994-1019
(954) 579-7973
Mailing address
15500 S ROUNDTABLE RD, DAVIE, FL 33331-3347
(786) 523-9358
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-84823
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/19/2023
Last updated
10/09/2025
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