Most Relevant Information
Provider Data
| NPI Number: | 1003636523 |
| Provider Name: | BEATRIZ CARDOSO LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-356371 |
Most Important Dates
| Enumeration Date: | 10/10/2024 |
| Last Updated: | 10/10/2024 |
Provider Practice Location
12170 SW 250TH TER
HOMESTEAD
FL
330326048
Practice Location Phone/Fax
| Phone: | 3058784292 |
| Fax: |
Provider Mailing Location
12170 SW 250TH TER
HOMESTEAD
FL
330326048
Provider Mailing Phone/Fax
| Phone: | 3058784292 |
| Fax: |