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1104301894
ALISSA VICTORIA LOPEZ
CONCORD, CA
NPI
1104301894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-18-63547)
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
ALISSA VICTORIA LOPEZ
1855 2ND ST STE B
CONCORD, CA 94519-2623
Phone number: 855-223-7123
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Mailing Address
ALISSA VICTORIA LOPEZ
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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