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1568001212
MELISSA MAE LOPEZ
TAMPA, FL
NPI
1568001212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 1-24-71477)
Enumeration Date
2019-12-29
Last Update Date
2024-02-28
Business Address
MELISSA MAE LOPEZ
11602 N 51ST ST
TAMPA, FL 33617-2132
Phone number: 813-914-8869
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Mailing Address
MELISSA MAE LOPEZ
10368 CARROLLWOOD LN APT 203
TAMPA, FL 33618-4730
Phone number: 561-667-5768
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