Most Relevant Information
Provider Data
| NPI Number: | 1003503160 |
| Provider Name: | ALFREDO J LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/19/2023 |
| Last Updated: | 05/11/2023 |
Provider Practice Location
44233 CAROLSIDE AVE
LANCASTER
CA
935353530
Practice Location Phone/Fax
| Phone: | 8184471237 |
| Fax: |
Provider Mailing Location
108 W VICTORIA ST
GARDENA
CA
902483523
Provider Mailing Phone/Fax
| Phone: | 3107152020 |
| Fax: |