Individual provider Active NPI

Annia Lopez

  • Behavior Analyst
  • West Palm Beach, FL
National Provider Identifier
1386295814
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-50939 Issued in FL
Practice address
1521 Forest Hill Blvd Ste 3
West Palm Beach, FL 33406-6031
Phone
(561) 444-2814
Fax
(561) 444-2458
NPI assigned
Sep 25, 2019
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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 1-21-50939 FL Primary
Behavior Technician 106S00000X RBT-19-97153 FL

Addresses

Primary practice location

1521 Forest Hill Blvd Ste 3
West Palm Beach, FL 33406-6031

Mailing address

3518 Old Lighthouse Cir
Wellington, FL 33414-8841
Phone (786) 953-3890

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

State licenses

LicenseStateTypeSpecialty
RBT-19-97153FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Consulting Team LLC Behavior Analyst CurrentSince Oct 22, 2023 Accepting new patients
Brighter Minds Behavioral Health, LLC. Behavior Analyst PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1386295814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 OLD LIGHTHOUSE CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148841",
            "telephone_number": "786-953-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 FOREST HILL BLVD STE 3",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066031",
            "telephone_number": "561-444-2814",
            "fax_number": "561-444-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ANNIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-50939",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-97153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.