Kimberly Lopez
Behavior Technician in Southlake, TX. Individual provider (NPI-1).
NPI number1114669488
StatusActive
Last updated in NPPESApr 8, 2022
Details
- NPI
- 1114669488
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Lopez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2022
- Certification date
- Apr 8, 2022
- Last updated
- Apr 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | TX | Yes |
Practice location
2104 Greenbriar DrSouthlake, TX 76092-8355
Phone 817-422-9022
Mailing address
2104 Greenbriar DrSouthlake, TX 76092-8355
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All 309 Behavior Technician providers in Southlake · All 2,154 providers in Southlake
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