Individual
MRS. BRENDA LEIGH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 GEORGE DIETER DR, EL PASO, TX 79936-7601
(915) 539-9394
Mailing address
1440 GEORGE DIETER DR STE A, EL PASO, TX 79936-7601
(915) 539-9394
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-3463-451276
TX
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
09/17/2013
Last updated
11/13/2024
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