Individual
HELEN STACEY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 N MAIN ST STE 945, SANTA ANA, CA 92705-6678
(714) 542-1234
Mailing address
2700 N MAIN ST STE 945, SANTA ANA, CA 92705-6678
(714) 542-1234
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
6001
CA
Other
Enumeration date
02/26/2019
Last updated
10/13/2022
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