Individual
BREANNA JAZLENE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 SARATOGA BLVD, CORPUS CHRISTI, TX 78414-3421
(361) 717-1608
Mailing address
5207 TIMBERGATE DR, APT 916, CORPUS CHRISTI, TX 78414
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
45760458
TX
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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