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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 4, 2021.

{
    "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

All providers in Turlock, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.