Individual
YENIL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11825 SW 18TH TER APT 75, MIAMI, FL 33175-8740
(786) 587-5744
Mailing address
11825 SW 18TH TER APT 75, MIAMI, FL 33175-8740
(786) 587-5744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
FL
106H00000X
Marriage & Family Therapist
Primary
IMT4140
FL
106S00000X
Behavior Technician
—
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962920991
—
FL
Enumeration date
08/30/2017
Last updated
07/05/2024
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