Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Crystal Samantha Lopez-Maldonado

Individual provider Behavior Technician · NPI 1902525777

Crystal Samantha Lopez-Maldonado is a Behavior Technician in Azusa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

23701 E East Fork Rd
Azusa, CA 91702-1477
Phone: (626) 250-3300
Fax: (626) 910-1380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Behavior Technician Taxonomy 106S00000X (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1902525777
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 25, 2022
Last updated in NPPESApril 19, 2025
Certification dateApril 19, 2025

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