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

Jorge Brian Lopez Manriquez

Individual provider Behavior Technician · NPI 1710704945

Jorge Brian Lopez Manriquez is a Behavior Technician in Fairfield, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2450 Martin Rd Ste 100
Fairfield, CA 94534-1018
Phone: (855) 223-7123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1710704945
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 19, 2024
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024

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