Individual
KAYLA MICHELLE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
14111 S 33RD AVE, BELLEVUE, NE 68123-2687
(816) 715-0250
Mailing address
14111 S 33RD AVE, BELLEVUE, NE 68123-2687
(816) 715-0250
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
03/23/2026
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