Jacqueline Estrada Lopez
NPI #1578936506 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1578936506
- Entity Type
- Individual
- Name
- Jacqueline Estrada Lopez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Nov 13, 2015
- Last Updated
- Feb 25, 2025
Practice Location
- Address
- 18245 PAULSON DR STE 104
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33954-1019
- Phone
- (813) 528-7048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
| Developmental Therapist |
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