Provider Demographics
NPI:1598530628
Name:LOPEZ, DAYAMI (RBT)
Entity Type:Individual
Prefix:MRS
First Name:DAYAMI
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:MRS
Other - First Name:DAYAMI
Other - Middle Name:
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RBT
Mailing Address - Street 1:6500 KENDALE LAKES DR APT 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-1805
Mailing Address - Country:US
Mailing Address - Phone:305-370-8922
Mailing Address - Fax:
Practice Address - Street 1:6500 KENDALE LAKES DR APT 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-1805
Practice Address - Country:US
Practice Address - Phone:305-370-8922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-308489106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician