Individual
ALITHZA RIVERA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1581 CUMMINS DR STE B, MODESTO, CA 95358-6402
(209) 574-1600
Mailing address
1581 CUMMINS DR STE B, MODESTO, CA 95358-6402
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37645
CA
171400000X
Health & Wellness Coach
5CC8C4B74A
CA
Other
Enumeration date
11/26/2018
Last updated
09/16/2025
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