Individual
FABIOLA LOPEZ-VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 S SUN DR, LAKE MARY, FL 32746-6119
(407) 323-6955
Mailing address
1061 S SUN DR FL 32746, LAKE MARY, FL 32746-6119
(407) 323-6955
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
SI6240
FL
Other
Enumeration date
04/05/2023
Last updated
12/19/2023
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