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Shanny Lopez, RBT

Behavior Technician in Pembroke Pines, FL. Individual provider (NPI-1).

NPI number1275222002
StatusActive
Last updated in NPPESMay 12, 2025

Details

NPI
1275222002
Entity type
Individual (NPI-1)
Name
Shanny Lopez
Credential
RBT
Sex
Female
Sole proprietor
Yes
Enumeration date
May 8, 2023
Certification date
May 12, 2025
Last updated
May 12, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianBACB901488FLYes

Practice location

17142 Nw 10th St
Pembroke Pines, FL 33028-2104

Phone 201-820-7734 · Fax 201-820-7734

Mailing address

17142 Nw 10th St
Pembroke Pines, FL 33028-2104

Phone 201-820-7734 · Fax 786-334-6343

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