Individual provider Active NPI

Shakira Avila Lopez

  • Assistant Behavior Analyst
  • Miami Lakes, FL
National Provider Identifier
1205574969
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
16140 NW 83Rd PL
Miami Lakes, FL 33016-6689
Phone
(305) 834-5050
NPI assigned
May 23, 2022
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X NU Primary

Addresses

Primary practice location

16140 NW 83Rd PL
Miami Lakes, FL 33016-6689

Mailing address

16140 NW 83Rd PL
Miami Lakes, FL 33016-6689
Phone (305) 834-5050

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": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1205574969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16140 NW 83RD PL",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166689",
            "telephone_number": "305-834-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16140 NW 83RD PL",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166689",
            "telephone_number": "305-834-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA LOPEZ",
        "first_name": "SHAKIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.