Provider Demographics
NPI:1033551924
Name:LOPEZ, BRITTANY MARIE (MS BCBA)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:MARIE
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:MS BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10300 SW 72ND ST STE 114
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3038
Mailing Address - Country:US
Mailing Address - Phone:855-832-6727
Mailing Address - Fax:772-675-9100
Practice Address - Street 1:647 BRAWLEY SCHOOL RD STE 104
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-6876
Practice Address - Country:US
Practice Address - Phone:704-703-8588
Practice Address - Fax:704-703-8588
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-17-26277103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst