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Individual

BETSAIDA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11306 SIR WINSTON ST BLDG F, SAN ANTONIO, TX 78216-2467
(210) 366-0049
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
TX
106S00000X
Behavior Technician

Other

Enumeration date
01/25/2018
Last updated
01/25/2018
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