Ivelisse Lopez
NPI #1902405129 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1902405129
- Entity Type
- Individual
- Name
- Ivelisse Lopez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Oct 19, 2020
- Last Updated
- Oct 19, 2020
Practice Location
- Address
- 254 EUCLID AVE
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-2845
- Phone
- (201) 654-1064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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