Most Relevant Information
Provider Data
| NPI Number: | 1003478991 |
| Provider Name: | STEPHANIE K LOPEZ BS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/01/2019 |
| Last Updated: | 07/01/2019 |
Provider Practice Location
7665 CREOLE PL UNIT 3
RANCHO CUCAMONGA
CA
917397503
Practice Location Phone/Fax
| Phone: | 9092310469 |
| Fax: |
Provider Mailing Location
7665 CREOLE PL UNIT 3
RANCHO CUCAMONGA
CA
917397503
Provider Mailing Phone/Fax
| Phone: | 9092310469 |
| Fax: |