Individual
MRS. ANASTASIA LEEANN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 W WABASH ST, RIALTO, CA 92376-2318
(909) 278-3665
Mailing address
1424 W WABASH ST, RIALTO, CA 92376-2318
(909) 278-3665
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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