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1235669904
MARISSA LOPEZ
MODESTO, CA
NPI
1235669904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: TX 3611)
Enumeration Date
2017-06-15
Last Update Date
2020-09-23
Business Address
MARISSA LOPEZ
2630 W RUMBLE RD
MODESTO, CA 95350-0155
Phone number: 209-579-9444
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Mailing Address
MARISSA LOPEZ
7500 SAN FELIPE ST STE 990
HOUSTON, TX 77063-1708
Phone number: 281-826-3382
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