Stephanie Ellen Lopez, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0528 Issued in MN

Practice address

2080 Wooddale Dr Ste 200
Woodbury, MN 55125-2920

Phone

(612) 201-2468

NPI assigned

Aug 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Stephanie Ellen Fodor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Autism Opportunities Foundation

  • Psychologist
  • Minnetonka, MN
  • NPI 1447348172
  NPD
• Bloomwell Behavioral Health Inc.

  • Behavior Analyst
  • Miami, FL
  • NPI 1740047489
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1235806902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 WOODDALE DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252920",
            "telephone_number": "612-201-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WOODDALE DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252920",
            "telephone_number": "612-201-2468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5868 Baker Rd",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553455903",
            "country_code": "US",
            "telephone_number": "952-767-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "STEPHANIE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "LBA0528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "FODOR",
            "middle_name": "ELLEN",
            "prefix": "MS.",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Charles Lofboom
• Valerie Loftus, RD, LD
• Tamara Beer Long, PT
• Theresa Lonsky, O.D.
• Melissa Renne Lopez
• Brai Chia Lor
• Linda Lor, NP-C
• Lori Peiffer, PHD, LP, LLC
• Andres Philip Losinski
• Elizabeth C Lostetter, PT

• All providers in Woodbury, MN
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.