Active NPI
Vanessa Lopez Benavides, MS
- Behavior Analyst
- Portland, OR
National Provider Identifier
1124678693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- ABA-B-10230359
- Practice address
- 1675 SW Marlow Ave Ste 200
Portland, OR 97225-5102 - Phone
- (866) 523-4268
- Fax
- (000) 000-0000
- NPI assigned
- Sep 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 3604375 | OR | |
| Behavior Analyst | 103K00000X | ABA-B-10230359 | OR | Primary |
Addresses
Primary practice location
1675 SW Marlow Ave Ste 200
Portland, OR 97225-5102
Mailing address
Dept la 22763
Pasadena, CA 91185-2763
Phone (866) 523-4268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3604375 | OR | MD | Behavioral Analyst |
| ABA-B-10230359 | OR | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1124678693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT LA 22763",
"city": "PASADENA",
"state": "CA",
"postal_code": "911852763",
"telephone_number": "866-523-4268",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 SW MARLOW AVE STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255102",
"telephone_number": "866-523-4268",
"fax_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ BENAVIDES",
"first_name": "VANESSA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-17",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OR",
"license": "3604375",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OR",
"license": "ABA-B-10230359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.