Individual provider Active NPI

Alejandra Lopez, RBT

  • Behavior Technician
  • Piscataway, NJ
National Provider Identifier
1407421605
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-168015 Issued in NJ
Practice address
30 Wills Way
Piscataway, NJ 08854-3770
Phone
(732) 646-8774
Fax
(855) 940-0177
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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 RBT-21-168015 NJ Primary

Addresses

Primary practice location

30 Wills Way
Piscataway, NJ 08854-3770

Mailing address

30 Wills Way
Piscataway, NJ 08854-3770
Phone (732) 646-8774

Other practice location 1

120 Finderne Ave
Bridgewater, NJ 08807-3670
Phone (732) 646-8774

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-21-168015NJMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1407421605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WILLS WAY",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543770",
            "telephone_number": "732-646-8774",
            "fax_number": "855-940-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WILLS WAY",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543770",
            "telephone_number": "732-646-8774",
            "fax_number": "855-940-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Finderne Ave",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "088073670",
            "country_code": "US",
            "telephone_number": "732-646-8774",
            "fax_number": "855-940-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ALEJANDRA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": "RBT-21-168015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.