Most Relevant Information
Provider Data
| NPI Number: | 1003654443 |
| Provider Name: | ADOLPH B LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-361888 |
Most Important Dates
| Enumeration Date: | 07/18/2024 |
| Last Updated: | 07/18/2024 |
Provider Practice Location
4000 S EASTERN AVE STE 240
LAS VEGAS
NV
891190847
Practice Location Phone/Fax
| Phone: | 7028481696 |
| Fax: |
Provider Mailing Location
4000 S EASTERN AVE
LAS VEGAS
NV
891190824
Provider Mailing Phone/Fax
| Phone: | 7028481696 |
| Fax: |