Individual provider Active NPI

Dora Maria Artiles Lopez

  • Assistant Behavior Analyst
  • Homestead, FL
National Provider Identifier
1164078804
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-21-11934 Issued in FL
Practice address
27501 S Dixie Hwy Ste 200
Homestead, FL 33032-8219
Phone
(786) 601-2608
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 18-67268 FL
Assistant Behavior Analyst 106E00000X 0-21-11934 FL Primary

Addresses

Primary practice location

27501 S Dixie Hwy Ste 200
Homestead, FL 33032-8219

Mailing address

9407 SW 221St LN
Cutler Bay, FL 33190-1472
Phone (786) 747-1978

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

State licenses

LicenseStateTypeSpecialty
18-67268FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Health Behavioral Center Corporation Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1164078804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9407 SW 221ST LN",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901472",
            "telephone_number": "786-747-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27501 S DIXIE HWY STE 200",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328219",
            "telephone_number": "786-601-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTILES LOPEZ",
        "first_name": "DORA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "18-67268",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-21-11934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.