Individual
MELISSA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
212 S WASHINGTON ST, ALEXANDRIA, VA 22314-3626
(703) 870-3880
Mailing address
2423 S ORANGE AVE # 353, ORLANDO, FL 32806-4543
(703) 870-3880
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000606
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30018242920001
—
VA
Enumeration date
01/30/2018
Last updated
06/12/2025
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