Lopez Correa, Julissa Ivelise

Lopez Correa, Julissa Ivelise is an individual health care provider with primary practice located at 185 Mittie Haddock Dr , Cameron NC 28326-9379. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Lopez Correa, Julissa Ivelise can be contacted via phone (386) 717-9131.

Contact Information

Primary practice address
185 Mittie Haddock Dr Cameron NC 28326-9379
Phone: (386) 717-9131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 8744

Profile Details

NPI number 1568976843
LBN Legal business name Lopez Correa, Julissa Ivelise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2017
Last updated Apr 28th, 2021 - about 4 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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