Most Relevant Information
Provider Data
| NPI Number: | 1003590563 |
| Provider Name: | EVELYN AILEEN LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/14/2023 |
| Last Updated: | 06/14/2023 |
Provider Practice Location
9620 CHESAPEAKE DR STE 105
SAN DIEGO
CA
921231324
Practice Location Phone/Fax
| Phone: | 8585059083 |
| Fax: |
Provider Mailing Location
9620 CHESAPEAKE DR STE 105
SAN DIEGO
CA
921231324
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |