Individual
MARIXA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
401 W WASHINGTON ST, ROCKWALL, TX 75087-3615
(972) 722-3892
Mailing address
401 W WASHINGTON ST, ROCKWALL, TX 75087-3615
(972) 722-3892
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39996
TX
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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