Abigail Lerose Lopez

Individual provider Active NPI Behavior Analyst · Madera, CA

NPI 1265025944 · NPPES record last updated Feb 14, 2021

Key facts

NPI
1265025944
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
1915 Howard Rd Ste B&C
Madera, CA 93637-5163
Phone
(559) 330-2211
Fax
(000) 000-0000
NPI assigned
Feb 14, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

1915 Howard Rd Ste B&C
Madera, CA 93637-5163

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other providers in Madera, CA

All providers in Madera, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.