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Individual
STEPHANIE LOPEZ
Active
Individual
STEPHANIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W064584067
AETNA
CA
Enumeration date
06/27/2019
Last updated
07/02/2026
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