Jose Eduardo Lopez
Behavior Technician in Tarzana, CA. Individual provider (NPI-1).
NPI number1083379986
StatusActive
Last updated in NPPESNov 4, 2021
Details
- NPI
- 1083379986
- Entity type
- Individual (NPI-1)
- Name
- Jose Eduardo Lopez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2021
- Certification date
- Nov 4, 2021
- Last updated
- Nov 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5554 Reseda Blvd Ste 203Tarzana, CA 91356-6212
Phone 818-798-2904
Mailing address
5554 Reseda Blvd Ste 203Tarzana, CA 91356-6212
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