Active NPI
Dorsheka Lopez-Waste, BCBA
- Behavior Analyst
- Fayetteville, GA
National Provider Identifier
1306342670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-59165
- Practice address
- 126 Pavilion Pkwy
Fayetteville, GA 30214-4056 - Phone
- (770) 954-8988
- Fax
- (317) 520-8200
- NPI assigned
- Apr 4, 2018
- 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 Analyst | 103K00000X | 1-22-59165 | GA | Primary |
Addresses
Primary practice location
126 Pavilion Pkwy
Fayetteville, GA 30214-4056
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
125 N Arcadia Ave Apt 114
Decatur, GA 30030-2142
Phone (915) 787-8235
Other practice location 2
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Phone (888) 320-3222
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 |
|---|---|---|---|
| Hopebridge, LLC | Behavior Analyst | Past | Accepting new patients |
| Hopebridge, LLC | Behavior Analyst | Past | Accepting new patients |
| Junior Boom ABA LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
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.
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Behavior Analyst
-
- Behavior Analyst
- Brooklyn, NY
- NPI 1861194490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1306342670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 PAVILION PKWY",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144056",
"telephone_number": "770-954-8988",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "125 N Arcadia Ave Apt 114",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300302142",
"country_code": "US",
"telephone_number": "915-787-8235",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "325 N Saint Paul St Ste 3100",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752013923",
"country_code": "US",
"telephone_number": "888-320-3222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ-WASTE",
"first_name": "DORSHEKA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-22-59165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.