Raymond Lopez
Behavior Technician in San Jose, CA. Individual provider (NPI-1).
NPI number1043813611
StatusActive
Last updated in NPPESJul 14, 2025
Details
- NPI
- 1043813611
- Entity type
- Individual (NPI-1)
- Name
- Raymond Lopez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2020
- Certification date
- Jul 14, 2025
- Last updated
- Jul 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
631 River Oaks PkwySan Jose, CA 95134-1907
Phone 408-914-7478
Mailing address
2949 Magliocco Dr Apt 10San Jose, CA 95128-3030
Phone 408-430-6261
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