Individual
DANIEL ISAI LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2220 NW 164TH ST, EDMOND, OK 73013-8801
(405) 757-6961
Mailing address
2220 NW 164TH ST, EDMOND, OK 73013-8801
(405) 757-6961
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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