Lopez, Carlos

Lopez, Carlos is an sole proprietor health care provider with primary practice located at 2873 Executive Park Dr , Weston FL 33331-3603. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Lopez, Carlos can be contacted via phone (754) 812-8700.

Contact Information

Primary practice address
2873 Executive Park Dr Weston FL 33331-3603
Phone: (754) 812-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-50858 Florida

Profile Details

NPI number 1154750214
LBN Legal business name Lopez, Carlos
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2013
Last updated Jan 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154750214 NPPES
Florida MEDICAID 009093700

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