Luis Vladimir Amaya-Lopez
Behavior Technician in Ashburn, VA. Individual provider (NPI-1).
NPI number1144890856
StatusActive
Last updated in NPPESJun 26, 2021
Details
- NPI
- 1144890856
- Entity type
- Individual (NPI-1)
- Name
- Luis Vladimir Amaya-Lopez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2021
- Certification date
- Jun 25, 2021
- Last updated
- Jun 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
43490 Yukon Dr Ste 104Ashburn, VA 20147-7302
Phone 703-936-2122
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
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