Most Relevant Information
Provider Data
| NPI Number: | 1003400441 |
| Provider Name: | WENDY TATIANA LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/25/2021 |
| Last Updated: | 02/25/2021 |
Provider Practice Location
2970 HILLTOP MALL RD STE. 104
RICHMOND
CA
948069480
Practice Location Phone/Fax
| Phone: | 5102435195 |
| Fax: |
Provider Mailing Location
2970 HILLTOP MALL RD STE. 104
RICHMOND
CA
94806
Provider Mailing Phone/Fax
| Phone: | 5102435195 |
| Fax: |