Edith Veronica Lopez

NPI #1356228175 in El Mirage, Arizona

Provider Information

NPI Number: 1356228175
Entity Type: Individual
Name: Edith Veronica Lopez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 21, 2025
Last Updated: Aug 21, 2025

Practice Location

Address: 11534 W CORRINE DR
City: El Mirage
State: Arizona
ZIP Code: 85335-3949
Phone: (480) 455-7189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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