Most Relevant Information
Provider Data
| NPI Number: | 1003424938 |
| Provider Name: | LUIS LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/16/2020 |
| Last Updated: | 07/16/2020 |
Provider Practice Location
6363 S PECOS RD STE 206
LAS VEGAS
NV
891206293
Practice Location Phone/Fax
| Phone: | 7028502691 |
| Fax: |
Provider Mailing Location
6363 S PECOS RD STE 206
LAS VEGAS
NV
891206293
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |