Michelle Lopez
Individual provider Active NPI Behavior Technician · Aguanga, CA
NPI 1982316360 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1982316360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 40040 N Preakness CT
Aguanga, CA 92536-9364 - Phone
- (951) 252-4322
- NPI assigned
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
40040 N Preakness CT
Aguanga, CA 92536-9364
Mailing address
40040 N Preakness CT
Aguanga, CA 92536-9364
Phone (951) 252-4322
Other providers in Aguanga, CA
- Megan Estrada
- Mary Bridgid Foye
- John Stafford LLC
- Nan Marie Kelly
- Mindful Moments Life Coaching LLC
- Clara Berlanga Ocampo
- Sheila K Oconnor
- Cara Nicole Sather
- John Stafford
All providers in Aguanga, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.