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Tania Angelica Lopez

Behavior Technician in Fort Worth, TX. Individual provider (NPI-1).

NPI number1336780600
StatusActive
Last updated in NPPESOct 8, 2019

Details

NPI
1336780600
Entity type
Individual (NPI-1)
Name
Tania Angelica Lopez
Sex
Female
Sole proprietor
No
Enumeration date
Oct 8, 2019
Last updated
Oct 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianBACB486060TXYes

Practice location

5804 Boat Club Rd
Fort Worth, TX 76176

Phone 817-310-8789

Mailing address

757 Oakwood Ave
Hurst, TX 76053-5510

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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