Individual
MARISA DINIS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
344 FAYETTEVILLE AVE, ALMA, AR 72921-3655
(479) 632-4600
Mailing address
344 FAYETTEVILLE AVE, ALMA, AR 72921-3655
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75244
AR
Other
Enumeration date
03/01/2021
Last updated
09/23/2024
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