Individual provider Active NPI

Rebeca Lopez Fustes

  • Assistant Behavior Analyst
  • Hialeah, FL
National Provider Identifier
1346763695
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-19-10346 Issued in FL
Practice address
8884 W 35TH Way
Hialeah, FL 33018-1889
Phone
(305) 967-5618
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Assistant Behavior Analyst 106E00000X 0-19-10346 FL Primary

Addresses

Primary practice location

8884 W 35TH Way
Hialeah, FL 33018-1889

Mailing address

6361 Cow Pen Rd Apt T212
Miami Lakes, FL 33014-2208
Phone (305) 321-2342

Other practice location 1

6361 Cow Pen Rd Apt T212
Miami Lakes, FL 33014-2208
Phone (305) 321-2342

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1346763695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6361 COW PEN RD APT T212",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142208",
            "telephone_number": "305-321-2342",
            "fax_number": "305-742-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8884 W 35TH WAY",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330181889",
            "telephone_number": "305-967-5618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6361 Cow Pen Rd Apt T212",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142208",
            "country_code": "US",
            "telephone_number": "305-321-2342",
            "fax_number": "305-742-2190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ FUSTES",
        "first_name": "REBECA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-19-10346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

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