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Marisol Lopez

Behavior Technician in Visalia, CA. Individual provider (NPI-1).

NPI number1235637372
StatusActive
Last updated in NPPESJan 23, 2018

Details

NPI
1235637372
Entity type
Individual (NPI-1)
Name
Marisol Lopez
Sex
Female
Sole proprietor
No
Enumeration date
Jan 23, 2018
Last updated
Jan 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

1730 W Walnut Ave
Visalia, CA 93277-6233

Phone 559-825-8455

Mailing address

21600 Oxnard St
Woodland Hills, CA 91367-4976

Phone 818-345-2345

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