Stephany O Gonzalez Lopez
Behavior Technician in Monrovia, CA. Individual provider (NPI-1).
NPI number1831985696
StatusActive
Last updated in NPPESApr 17, 2025
Details
- NPI
- 1831985696
- Entity type
- Individual (NPI-1)
- Name
- Stephany O Gonzalez Lopez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2025
- Certification date
- Apr 17, 2025
- Last updated
- Apr 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
612 S Myrtle Ave Ste 100Monrovia, CA 91016-3406
Phone 800-207-0272
Mailing address
43820 Mesquite AveIndio, CA 92203-7000
Phone 442-529-7071
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