Individual
JESRAEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 MELHA AVE, SPRINGFIELD, MA 01104-1824
(413) 285-0911
Mailing address
133 MELHA AVE, SPRINGFIELD, MA 01104-1824
(413) 285-0911
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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