Individual
JANETTE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15490 CIVIC DR, VICTORVILLE, CA 92392-2924
(190) 925-4326
Mailing address
13766 SUNSHINE TER, VICTORVILLE, CA 92394-7581
(190) 925-4326
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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