Individual
JENNIFER LOPEZ MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13285 W HWY 152, DOS PALOS, CA 93620-0008
(209) 737-5213
Mailing address
13285 W HWY 152, DOS PALOS, CA 93620-0008
(209) 737-5213
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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