Active NPI
Annelis Lopez Perez
- Behavior Technician
- Fort Myers, FL
National Provider Identifier
1215515903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 11922 Fairway Lakes Dr Ste 2
Fort Myers, FL 33913-8384 - Phone
- (239) 219-3409
- NPI assigned
- Apr 1, 2021
- 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
11922 Fairway Lakes Dr Ste 2
Fort Myers, FL 33913-8384
Mailing address
5353 Hawks Landing Dr Apt 207
Fort Myers, FL 33907-6665
Phone (239) 288-3823
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umbrella Spectrum LLC | Current | Accepting new patients |
Locations
11922 Fairway Lakes Dr
Ste 2
Fort Myers, FL 33913
Phone (239) 219-3409
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Fort Myers, FL
- NPI 1831774439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1215515903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5353 HAWKS LANDING DR APT 207",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339076665",
"telephone_number": "239-288-3823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11922 FAIRWAY LAKES DR STE 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339138384",
"telephone_number": "239-219-3409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ PEREZ",
"first_name": "ANNELIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-01",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Juan Pablo Loor Tuarez, M.D.
- Ana Leticia Gontijo Lopes, PSY.D.
- Anyeley Lopez Lopez, DMD
- Arianet Lopez Molina, RBT-23-300968
- Dulce M Lopez Obregon, DPT, ACSM CPT
- Danaya Lopez Perez
- Yeinier Pedro Lopez Sotomayor, MT
- Ryan Jobel Lopez Torres
- Jennifer Louise Lopez Zavala, OTR
- Juan Carlos Lopez-Mattei, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.