Masiel Roque Lopez, RBT
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1255098331
StatusActive
Last updated in NPPESNov 23, 2021
Details
- NPI
- 1255098331
- Entity type
- Individual (NPI-1)
- Name
- Masiel Roque Lopez
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 23, 2021
- Certification date
- Nov 23, 2021
- Last updated
- Nov 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-128042 | FL | Yes |
Practice location
6481 Sw 163rd CtMiami, FL 33193-4425
Phone 786-838-2128
Mailing address
6481 Sw 163rd CtMiami, FL 33193-4425
Phone 786-838-2128
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