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NPI Code Detail

MEDICARE: MRS. YARELIS LOPEZ ALVAREZ BCBA

MEDICARE: MRS. YARELIS LOPEZ ALVAREZ BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystBEH-000647AZ

General Provider Information

NPI Number : 1538729199
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. YARELIS LOPEZ ALVAREZ BCBA
Provider Business Mailing Address
First Line : 2045 S VINEYARD STE 223
Second Line :
City : MESA
State : AZ
Zip : 85210-6826
Country : US
Telephone Number : 480-656-3530
Fax Number : 480-685-9879
Provider Business Practice Location Address
First Line : 2045 S VINEYARD STE 223
Second Line :
City : MESA
State : AZ
Zip : 85210-6826
Country : US
Telephone Number : 480-656-3530
Fax Number : 480-685-9879
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2019
Last Update Date : 04/13/2026

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