Individual
LESLEY YANETH RIVAS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N. WASHINGTON DURANT, OK, DURANT, OK 74701
(580) 706-6939
Mailing address
913 E SPRING ST, SHERMAN, TX 75090-8125
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1579629
TX
Other
Enumeration date
06/17/2026
Last updated
07/10/2026
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