Individual
BRANDI ROXANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
4401 CRENSHAW BLVD STE 215, LOS ANGELES, CA 90043-1200
(323) 291-7100
Mailing address
4401 CRENSHAW BLVD STE 215, LOS ANGELES, CA 90043-1200
(323) 291-7100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11937675
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11937675
BACB
CA
Enumeration date
09/27/2019
Last updated
11/24/2020
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