Individual
CHELSEA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20601 N 19TH AVE STE 100, PHOENIX, AZ 85027-2666
(480) 801-5305
Mailing address
11808 N 110TH PL, SCOTTSDALE, AZ 85259-3056
(225) 335-8428
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1369201
AZ
Other
Enumeration date
07/05/2025
Last updated
07/05/2025
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