Individual
DANIELLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 E CAMINO COLEGIO, SANTA MARIA, CA 93454-6752
(805) 361-7560
Mailing address
121 CHANLON RD # 310, NEW PROVIDENCE, NJ 07974-1543
(973) 299-9954
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
Primary
271A68C556
CA
Other
Enumeration date
06/13/2018
Last updated
08/18/2025
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