Camilo Ernesto Lopez Jr.
Behavior Technician in Santa Clarita, CA. Individual provider (NPI-1).
NPI number1316622236
StatusActive
Last updated in NPPESJun 19, 2023
Details
- NPI
- 1316622236
- Entity type
- Individual (NPI-1)
- Name
- Camilo Ernesto Lopez Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2023
- Certification date
- Jun 19, 2023
- Last updated
- Jun 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
27502 Avenue ScottSanta Clarita, CA 91355-3911
Phone 661-670-2999
Mailing address
27502 Avenue ScottSanta Clarita, CA 91355-3911
Phone 661-670-2999
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