Individual
SAMANTHA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3155 N COLLEGE AVE STE 108, FAYETTEVILLE, AR 72703-3500
(479) 957-9121
(479) 777-9967
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
AR
106S00000X
Behavior Technician
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231889706
—
AR
05
—
236458795
—
AR
Enumeration date
05/05/2020
Last updated
12/03/2025
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