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Justin Leopoldo Lopez

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

NPI number1669998423
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1669998423
Entity type
Individual (NPI-1)
Name
Justin Leopoldo Lopez
Sex
Male
Sole proprietor
No
Enumeration date
Aug 14, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

3230 Fallow Field Dr.
Diamond Bar, CA 91765

Phone 800-804-3840

Mailing address

3230 Fallow Field Dr
Diamond Bar, CA 91765-3479

Phone 800-804-3840

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Other Behavior Technician providers in Diamond Bar, CA

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