Individual
ARELY SARAI LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12395 LEWIS ST STE 202, GARDEN GROVE, CA 92840-4694
(714) 867-6384
Mailing address
12395 LEWIS ST STE 202, GARDEN GROVE, CA 92840-4694
(714) 867-6384
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y3210701
DRIVER'S LICENSE
CA
Enumeration date
02/05/2020
Last updated
11/27/2023
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