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

Kassandra Licet Lopez

Individual provider Behavior Technician · NPI 1558080382

Kassandra Licet Lopez is a Behavior Technician in San Diego, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3702 Ruffin Rd Ste 100
San Diego, CA 92123-1893
Phone: (619) 297-4300
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 number1558080382
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2022
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022

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