Individual provider Active NPI

Dailenis Pompa Lopez

  • Behavior Technician
  • North Fort Myers, FL
National Provider Identifier
1285433920
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
754 Pondella Rd Apt 131
North Fort Myers, FL 33903-6704
Phone
(239) 445-8890
Fax
(239) 445-8890
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL Primary

Addresses

Primary practice location

754 Pondella Rd Apt 131
North Fort Myers, FL 33903-6704

Mailing address

754 Pondella Rd Apt 131
North Fort Myers, FL 33903-6704
Phone (239) 445-8890

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": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1285433920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 PONDELLA RD APT 131",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339036704",
            "telephone_number": "239-445-8890",
            "fax_number": "239-445-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 PONDELLA RD APT 131",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339036704",
            "telephone_number": "239-445-8890",
            "fax_number": "239-445-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMPA LOPEZ",
        "first_name": "DAILENIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.