Provider Demographics
NPI:1356992911
Name:LOPEZ AND ASSOCIATATES BEHAVIOR CONSULTING
Entity type:Organization
Organization Name:LOPEZ AND ASSOCIATATES BEHAVIOR CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA, LBA
Authorized Official - Phone:347-394-6687
Mailing Address - Street 1:25 MANOR DR APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-3232
Mailing Address - Country:US
Mailing Address - Phone:347-394-6687
Mailing Address - Fax:
Practice Address - Street 1:5 MANOR DR APT 2A
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07106-3237
Practice Address - Country:US
Practice Address - Phone:347-394-6687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty