Individual
MISS BRISEIDA MARLETH LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44460 20TH ST W SIDE B, LANCASTER, CA 93534-2714
(818) 854-2449
Mailing address
37505 35TH ST E, PALMDALE, CA 93550-5607
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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