Individual
ELOISA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15339 SATICOY ST, VAN NUYS, CA 91406-3345
(818) 267-2600
Mailing address
6551 FARMDALE AVE, NORTH HOLLYWOOD, CA 91606-2618
(818) 854-2060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
04/22/2026
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