Most Relevant Information
Provider Data
| NPI Number: | 1003539701 |
| Provider Name: | DANIELA LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/19/2022 |
| Last Updated: | 09/19/2022 |
Provider Practice Location
490 CHADBOURNE RD STE A131
FAIRFIELD
CA
945341862
Practice Location Phone/Fax
| Phone: | 8446363987 |
| Fax: | 7074026059 |
Provider Mailing Location
490 CHADBOURNE RD STE A131
FAIRFIELD
CA
945341862
Provider Mailing Phone/Fax
| Phone: | 8446363987 |
| Fax: | 7074026059 |