Angelica Lopez

NPI #1033783030 in Boise, Idaho

Provider Information

NPI Number: 1033783030
Entity Type: Individual
Name: Angelica Lopez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 14, 2021
Last Updated: May 14, 2021

Practice Location

Address: 1087 E PARK BLVD
City: Boise
State: Idaho
ZIP Code: 83712
Phone: (208) 504-1731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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