Most Relevant Information
Provider Data
| NPI Number: | 1003426982 |
| Provider Name: | JUDITH LAZARA LOPEZ PADILLA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-129470 |
Most Important Dates
| Enumeration Date: | 08/05/2020 |
| Last Updated: | 08/05/2020 |
Provider Practice Location
9701 FONTAINEBLEAU BLVD APT 101
MIAMI
FL
331724077
Practice Location Phone/Fax
| Phone: | 7866166236 |
| Fax: |
Provider Mailing Location
9701 FONTAINEBLEAU BLVD APT 101
MIAMI
FL
331724077
Provider Mailing Phone/Fax
| Phone: | 7866166236 |
| Fax: |