Individual
CARMINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3878 RUFFIN RD, SAN DIEGO, CA 92123-1842
(619) 739-4569
Mailing address
2632 TONTO WAY, SAN DIEGO, CA 92117
(858) 340-9977
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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