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

Nicole Eliabeth Lopez

Individual provider Behavior Technician · NPI 1508478504

Nicole Eliabeth Lopez is a Behavior Technician in Wildomar, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

21884 Walnut St
Wildomar, CA 92595-8946
Phone: (951) 816-7230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-18-51006 (CA)

Record details

NPI number1508478504
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 20, 2020
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020
Mailing address255 E Rincon St, Corona, CA 92879-1367

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