(800) 868-1923

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