Individual
ERICKA A LOPEZ BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
10261 TRADEMARK ST, RANCHO CUCAMONGA, CA 91730-5805
(909) 481-9333
Mailing address
10261 TRADEMARK ST, RANCHO CUCAMONGA, CA 91730-5805
(909) 481-9333
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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