Stephanie Lopez
Individual provider Active NPI Behavior Technician · Turlock, CA
NPI 1194480004 · NPPES record last updated Nov 4, 2021
Key facts
- NPI
- 1194480004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1620 Colorado Ave
Turlock, CA 95382-2713 - Phone
- (209) 342-7353
- NPI assigned
- Nov 4, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1620 Colorado Ave
Turlock, CA 95382-2713
Mailing address
1620 Colorado Ave
Turlock, CA 95382-2713
NPI Registry JSON
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1194480004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 COLORADO AVE",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953822713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 COLORADO AVE",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953822713",
"telephone_number": "209-342-7353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-04",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Turlock, CA
- Cesia Lopez
- Claudia Lopez
- Hannia Lopez
- Leopoldo L Lopez
- Lindsey F Lopez
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- Keng Justin Lor
- Los Angeles ENT and Facial Restoration Institute, Inc
- Lost Cane Senior Living, Inc.
- Christine Loveday
All providers in Turlock, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.