Individual
VANESSA LOPEZ BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
(866) 523-4268
(000) 000-0000
Mailing address
DEPT LA 22763, PASADENA, CA 91185-2763
(866) 523-4268
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
3604375
OR
103K00000X
Behavior Analyst
Primary
ABA-B-10230359
OR
Other
Enumeration date
09/17/2019
Last updated
03/20/2023
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