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General NPI Number Information
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NPI Number | 1356992911
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Entity Type | Organization
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Legal Business Name | LOPEZ AND ASSOCIATATES BEHAVIOR CONSULTING
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 5 MANOR DR APT 2A
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City | NEWARK
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State | NJ
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Zip | 07106-3237
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Country | US
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Telephone | 347-394-6687
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Fax |
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Provider Business Mailing Address
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Address Line | 25 MANOR DR APT 1B
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City | NEWARK
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State | NJ
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Zip | 07106-3232
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Country | US
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Telephone | 347-394-6687
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JENNIFER LOPEZ
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Credential | M.A, BCBA, LBA
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Telephone | 347-394-6687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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