Active NPI
Vanessa R Valdenegro Lopez, BCBA
- Behavior Analyst
- Carrollton, GA
National Provider Identifier
1134466154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-20912
- Practice address
- 204 Stewart St
Carrollton, GA 30117-2437 - Phone
- (678) 890-1055
- NPI assigned
- Jan 10, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-20912 | FL | Primary |
Addresses
Primary practice location
204 Stewart St
Carrollton, GA 30117-2437
Mailing address
204 Stewart St
Carrollton, GA 30117-2437
Phone (678) 890-1055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-15-20912 | Other | FL | APPLIED BEHAVIOR ANALYSIS (ABA) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suntree Behavior Analysis, LLC | Behavior Analyst | Current | Accepting new patients |
| Above & Beyond Behavior Development, Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Melbourne, FL
- NPI 1215605597
-
- Behavior Analyst
- Pinecrest, FL
- NPI 1497104574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1134466154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 STEWART ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301172437",
"telephone_number": "678-890-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 STEWART ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301172437",
"telephone_number": "678-890-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDENEGRO LOPEZ",
"first_name": "VANESSA",
"middle_name": "R",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-10",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-15-20912",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APPLIED BEHAVIOR ANALYSIS (ABA)",
"identifier": "1-15-20912",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.