Most Relevant Information
Provider Data
| NPI Number: | 1003566688 |
| Provider Name: | GISELLE ALEXIS LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/25/2022 |
| Last Updated: | 04/28/2022 |
Provider Practice Location
5352 LAUREL CANYON BLVD STE 100
VALLEY VILLAGE
CA
916074923
Practice Location Phone/Fax
| Phone: | 7472541154 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST STE 1800
WOODLAND HILLS
CA
913677807
Provider Mailing Phone/Fax
| Phone: | 8183452345 |
| Fax: |