| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SAUNDRA NICOLE LOPEZ | 1174239362 | 2023-02-12 |
Saundra Nicole Lopez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174239362. Registration indicates Saundra Nicole Lopez is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, ) (Behavioral Health & Social Service Providers, Behavior Technician) (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Ms. Saundra Nicole Lopez RBT |
| Practice Office Address | 350 FAIRWAY DR STE 101 DEERFIELD BEACH, FL US |
| Practice Office Telephone | 8774182978 |
| Practice Office Fax | 8665002186 |
| Mailing Address | 350 FAIRWAY DR STE 101 DEERFIELD BEACH, FL 334411834 US |
| Business Telephone | 8774182978 |
| Business Fax | 8665002186 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | |
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |
FL |
| 1174239362 | MEDICAID | FL |