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Gina Lopez, RBT

Behavior Technician in Westlake, OH. Individual provider (NPI-1).

NPI number1962281998
StatusActive
Last updated in NPPESSep 28, 2023

Details

NPI
1962281998
Entity type
Individual (NPI-1)
Name
Gina Lopez
Credential
RBT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 28, 2023
Certification date
Sep 28, 2023
Last updated
Sep 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-22-229465OHYes

Practice location

29077 Clemens Rd
Westlake, OH 44145-1135

Phone 440-871-6568 · Fax 317-520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Phone 855-324-0885

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