Most Relevant Information
Provider Data
| NPI Number: | 1003572975 |
| Provider Name: | BIANCA LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/15/2021 |
| Last Updated: | 11/15/2021 |
Provider Practice Location
2888 LOKER AVE E STE 105
CARLSBAD
CA
920106683
Practice Location Phone/Fax
| Phone: | 6197959925 |
| Fax: |
Provider Mailing Location
8885 RIO SAN DIEGO DR STE 340
SAN DIEGO
CA
921081669
Provider Mailing Phone/Fax
| Phone: | 6197959925 |
| Fax: | 8776025087 |