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1609607613
MARIELA HERNANDEZ-LOPEZ
MT JULIET, TN
NPI
1609607613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TN RBT-24-325247)
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
MARIELA HERNANDEZ-LOPEZ RBT
854 N MOUNT JULIET RD
MT JULIET, TN 37122-4430
Phone number: 615-558-4082
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Mailing Address
MARIELA HERNANDEZ-LOPEZ RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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