Individual
GLADIS ARACELI LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3716 W THOMAS RD, PHOENIX, AZ 85019-4427
(602) 821-4996
Mailing address
3716 W THOMAS RD, PHOENIX, AZ 85019-4427
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1281966
AZ
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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