Provider Demographics
NPI:1891933099
Name:LOPEZ, AMY RENEE (MBA)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:RENEE
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:MBA
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:300 N SAN ANTONIO RD
Mailing Address - Street 2:BLDG 1
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1316
Mailing Address - Country:US
Mailing Address - Phone:805-614-1566
Mailing Address - Fax:805-614-1571
Practice Address - Street 1:300 N SAN ANTONIO RD
Practice Address - Street 2:BLDG 1
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-1316
Practice Address - Country:US
Practice Address - Phone:805-614-1566
Practice Address - Fax:805-614-1571
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst