Individual
ANTONIO BENJAMIN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 ALTURAS RD SPC 37, FALLBROOK, CA 92028-3925
(760) 696-1868
Mailing address
1455 ALTURAS RD SPC 37, FALLBROOK, CA 92028-3925
(760) 696-1868
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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