Jose Lopez
Behavior Technician in Los Angeles, CA. Individual provider (NPI-1).
NPI number1164078150
StatusActive
Last updated in NPPESSep 15, 2026
Details
- NPI
- 1164078150
- Entity type
- Individual (NPI-1)
- Name
- Jose Lopez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2019
- Certification date
- Sep 15, 2026
- Last updated
- Sep 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6767 Forest Lawn Dr Ste 100&103Los Angeles, CA 90068-1027
Phone 310-374-3300 · Fax 310-374-3307
Mailing address
119 W Torrance Blvd Ste 100Redondo Beach, CA 90277-3600
Phone 310-374-3300 · Fax 310-374-3307
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