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Individual

DEVORA ANAY LOPEZ MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1455 NW LEARY WAY STE 400, SEATTLE, WA 98107-5138
(206) 504-3815
(855) 568-2494
Mailing address
18726 S WESTERN AVE, GARDENA, CA 90248-3813
(310) 856-0800
(855) 568-2494

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/09/2021
Last updated
06/03/2024
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