Active NPI
Gladis Lopez
- Behavior Technician
- Pomona, CA
National Provider Identifier
1184428484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 801 Corporate Center Dr Ste 210
Pomona, CA 91768-2627 - Phone
- (909) 634-3974
- Fax
- (855) 864-1494
- NPI assigned
- Apr 3, 2025
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
801 Corporate Center Dr Ste 210
Pomona, CA 91768-2627
Mailing address
4434 Bonnie Brae St Apt 3
Montclair, CA 91763-1819
Phone (909) 374-4122
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1184428484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4434 BONNIE BRAE ST APT 3",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917631819",
"telephone_number": "909-374-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 CORPORATE CENTER DR STE 210",
"city": "POMONA",
"state": "CA",
"postal_code": "917682627",
"telephone_number": "909-634-3974",
"fax_number": "855-864-1494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "GLADIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-03",
"last_updated": "2025-04-22",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.