Individual
EDITH VERONICA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11534 W CORRINE DR, EL MIRAGE, AZ 85335-3949
(480) 455-7189
Mailing address
9150 W INDIAN SCHOOL RD STE 105, PHOENIX, AZ 85037-2385
(520) 231-7380
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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