Active NPI
Mireyle Lopez
- Behavior Technician
- Boca Raton, FL
National Provider Identifier
1164308557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 25-456195
- Practice address
- 2500 N Military TRL Ste 304
Boca Raton, FL 33431-6324 - Phone
- (772) 362-9878
- NPI assigned
- Aug 12, 2025
- Last updated
- Aug 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | 25-456195 | FL | Primary |
Addresses
Primary practice location
2500 N Military TRL Ste 304
Boca Raton, FL 33431-6324
Mailing address
4739 Carver St
Greenacres, FL 33463-2225
Phone (561) 215-6545
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25-456195 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weevolve, LLC | Current | Accepting new patients |
Locations
2500 N Military Trl
Ste 304
Boca Raton, FL 33431
Phone (561) 421-5111
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Boca Raton, FL
- NPI 1760072136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1164308557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4739 CARVER ST",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334632225",
"telephone_number": "561-215-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N MILITARY TRL STE 304",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316324",
"telephone_number": "772-362-9878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MIREYLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-12",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "25-456195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.