Ivonne Lopez

NPI #1053046706 in Mecca, California

Provider Information

NPI Number: 1053046706
Entity Type: Individual
Name: Ivonne Lopez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 18, 2022
Last Updated: Jul 18, 2022

Practice Location

Address: 69165 BEACHCOMBER DR
City: Mecca
State: California
ZIP Code: 92254-2617
Phone: (760) 771-7116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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