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Individual

MISS ALEXIS M LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
424 CHURCH ST, NASHVILLE, TN 37219-2301
(855) 832-6727
Mailing address
1201 CHURCH ST APT 376, NASHVILLE, TN 37203-3671
(517) 803-0391

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59918
106S00000X
Behavior Technician
RBT-20-129903

Other

Enumeration date
09/20/2020
Last updated
09/09/2022
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