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Marissa Lopez

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

NPI number1689322331
StatusActive
Last updated in NPPESMar 11, 2022

Details

NPI
1689322331
Entity type
Individual (NPI-1)
Name
Marissa Lopez
Sex
Female
Sole proprietor
No
Enumeration date
Mar 11, 2022
Certification date
Mar 11, 2022
Last updated
Mar 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

15233 Ventura Blvd Ste 500
Sherman Oaks, CA 91403-2231

Phone 877-418-2978

Mailing address

350 Fairway Dr Ste 101
Deerfield Bch, FL 33441-1834

Phone 887-418-2978 · Fax 866-500-2186

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