Individual
BRENDA ROMAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12395 LEWIS ST STE 202, GARDEN GROVE, CA 92840-4694
(714) 867-6384
Mailing address
2226 S TOWNER ST, SANTA ANA, CA 92707-3142
(714) 805-2423
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
11/27/2023
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