Victor R Lopez, BEHAVIOR TECHNICIAN

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3855 Centerview Dr Ste 400B
Chantilly, VA 20151-3285

Phone

(844) 854-1116

Fax

(305) 846-9711

NPI assigned

Jun 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1184355182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOUGLAS RD STE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344108",
            "telephone_number": "844-854-1116",
            "fax_number": "305-846-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 CENTERVIEW DR STE 400B",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513285",
            "telephone_number": "844-854-1116",
            "fax_number": "305-846-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "VICTOR",
        "middle_name": "R",
        "credential": "BEHAVIOR TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Liwanag, FNP-BC
• Amy Lo
• Gabriela Loera, LCSW
• Rachal Elayne Lohr Dean, L.AC. DIPL. OM
• Joanne E Long
• Loudoun Medical Group, PC
• Loudoun Medical Group, PC
• Loudoun Medical Group, PC
• Loudoun Medical Group, PC
• Meron Abebe Louissaint, LCSW

• Behavior Technician in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.