Individual
JANET BASURTO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15545 1/2 VIRGINIA AVE, PARAMOUNT, CA 90723-4454
(562) 965-5218
Mailing address
15545 1/2 VIRGINIA AVE, PARAMOUNT, CA 90723-4454
(562) 965-5218
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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