Individual
MASSIEL E LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3825 RIPPASO PL, BRANDON, FL 33511-7799
(917) 705-0145
Mailing address
3825 RIPPASO PL, BRANDON, FL 33511-7799
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/17/2024
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