Individual
CELINA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
15643 SHERMAN WAY STE 220, VAN NUYS, CA 91406-4174
(818) 232-7940
Mailing address
15643 SHERMAN WAY STE 220, VAN NUYS, CA 91406-4174
(818) 232-7940
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8358
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBA 1-11-8358
BCBA CERTIFICATE
CA
Enumeration date
04/06/2012
Last updated
10/23/2020
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