Provider Demographics
NPI:1851279269
Name:LEON LOPEZ, KAREN STEPHANIE
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:STEPHANIE
Last Name:LEON LOPEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 NW 44TH ST APT 710
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-4390
Mailing Address - Country:US
Mailing Address - Phone:305-481-8607
Mailing Address - Fax:
Practice Address - Street 1:2700 NW 44TH ST APT 710
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-4390
Practice Address - Country:US
Practice Address - Phone:305-481-8607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-465922106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician