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NPI Code Detail

MEDICARE: ROSA LOPEZ LOMELI BCBA

MEDICARE: ROSA LOPEZ LOMELI BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1235666363
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSA LOPEZ LOMELI BCBA
Provider Business Mailing Address
First Line : 11799 SEBASTIAN WAY STE 103
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-0708
Country : US
Telephone Number : 866-727-8274
Fax Number :
Provider Business Practice Location Address
First Line : 11799 SEBASTIAN WAY STE 103
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-0708
Country : US
Telephone Number : 909-353-7547
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2017
Last Update Date : 12/05/2025

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Directions to “ ROSA LOPEZ LOMELI BCBA” Practice Location

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