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Individual

AMANDA NICHOLE LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 CORPORATE CENTER DR STE 120, MONTEREY PARK, CA 91754-7610
(626) 495-9420
(408) 260-5003
Mailing address
2657 WALNUT GROVE AVE, ROSEMEAD, CA 91770-3259
(626) 842-7260

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CA

Other

Enumeration date
02/19/2024
Last updated
02/19/2024
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