Individual
ANDREA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3186 AIRWAY AVE STE A, COSTA MESA, CA 92626-4650
(714) 881-0427
Mailing address
3186 AIRWAY AVE STE A, COSTA MESA, CA 92626-4650
(714) 881-0427
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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