MR. Brent Lopez

NPI #1063207009 in Canyon Country, California

Provider Information

NPI Number: 1063207009
Entity Type: Individual
Name: MR. Brent Lopez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 10, 2025
Last Updated: Apr 10, 2025

Practice Location

Address: 28245 AVENUE CROCKER
Address 2: SUITE 220
City: Canyon Country
State: California
ZIP Code: 91355-9135
Phone: (661) 254-7086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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