Active NPI
Jazzmin Lopez
- Behavior Analyst
- Burbank, CA
National Provider Identifier
1497400873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-57843
- Practice address
- 2101 N Glenoaks Blvd
Burbank, CA 91504-2828 - Phone
- (818) 848-8825
- NPI assigned
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-22-57843 | CA | Primary |
Addresses
Primary practice location
2101 N Glenoaks Blvd
Burbank, CA 91504-2828
Mailing address
15536 Cristalino St
Hacienda Heights, CA 91745-5925
Phone (562) 213-3187
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": "1644883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1497400873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15536 CRISTALINO ST",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917455925",
"telephone_number": "562-213-3187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N GLENOAKS BLVD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915042828",
"telephone_number": "818-848-8825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JAZZMIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-15",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-22-57843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
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.