Evaleonor Tiffany Taylor-Lopez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-144022 Issued in FL

Practice address

7108 South Kanner HWT
Stuart, FL 34997

Phone

(855) 832-6727

NPI assigned

Oct 7, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1053918581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 SOUTH KANNER HWT",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462",
            "telephone_number": "855-832-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 SOUTH KANNER HWT",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34997",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-LOPEZ",
        "first_name": "EVALEONOR",
        "middle_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-144022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "evat.taylor1@gmail.com",
            "affiliation": "N",
            "address_1": "3415 W Lake Mary Blvd # 4045",
            "city": "Lake Mary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327957501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen M Tavares, CRNA
• Princess Tavares
• Elba V Tavarez
• Shalomy Abigail Tavera
• Omar A Tayara
• April Dianne Taylor, MT-BC
• Denescia Lanay Taylor
• Donald Richard Taylor, RPH
• Gabriel Michael Taylor
• Latessa Louise Taylor

• Behavior Technician in Stuart, FL
• Providers in Stuart, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.