Meyling Massiel Vega Lopez
Behavior Technician in Miami Lakes, FL. Individual provider (NPI-1).
NPI number1194540468
StatusActive
Last updated in NPPESNov 20, 2024
Details
- NPI
- 1194540468
- Entity type
- Individual (NPI-1)
- Name
- Meyling Massiel Vega Lopez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2024
- Certification date
- Nov 20, 2024
- Last updated
- Nov 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | BACB1055953 | FL | Yes |
Practice location
13906 Crooked Palm CtMiami Lakes, FL 33014-2912
Phone 786-762-7143
Mailing address
13906 Crooked Palm CtMiami Lakes, FL 33014-2912
Phone 786-762-7143
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