Active NPI
Lizeth Paola Lopez
- Behavior Analyst
- Elizabeth, NJ
National Provider Identifier
1457044729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-21-196223
- Practice address
- 324 Washington Ave Apt C3
Elizabeth, NJ 07202-3360 - Phone
- (929) 365-0826
- NPI assigned
- Jun 1, 2023
- 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 | RBT-21-196223 | NJ | Primary |
Addresses
Primary practice location
324 Washington Ave Apt C3
Elizabeth, NJ 07202-3360
Mailing address
324 Washington Ave Apt C3
Elizabeth, NJ 07202-3360
Phone (929) 365-0826
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-196223 | NJ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1457044729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 WASHINGTON AVE APT C3",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072023360",
"telephone_number": "929-365-0826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 WASHINGTON AVE APT C3",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072023360",
"telephone_number": "929-365-0826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "LIZETH",
"middle_name": "PAOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "RBT-21-196223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.