Most Relevant Information
Provider Data
| NPI Number: | 1003440199 |
| Provider Name: | CITLALI LOPEZ LEAD RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-19-94933 |
Most Important Dates
| Enumeration Date: | 02/27/2020 |
| Last Updated: | 04/06/2023 |
Provider Practice Location
600 LIBERTY LN
EDMOND
OK
730349432
Practice Location Phone/Fax
| Phone: | 4055481029 |
| Fax: |
Provider Mailing Location
600 LIBERTY LN
EDMOND
OK
730349432
Provider Mailing Phone/Fax
| Phone: | 4055481029 |
| Fax: |