Individual
MARIA L LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
8591 LAKESIDE DR, ENGLEWOOD, FL 34224-7695
(885) 832-6727
(772) 675-9100
Mailing address
2301 ARBOUR WALK CIR APT 223, NAPLES, FL 34109-6863
(239) 465-2747
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-10879
FL
Other
Enumeration date
08/17/2016
Last updated
07/02/2021
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