Christian De Jesus Lopez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3164 Medinah Cir E
Lake Worth, FL 33467-1345

Phone

(786) 916-4175

NPI assigned

Jun 11, 2025

Last updated

Oct 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1548155468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 MEDINAH CIR E",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671345",
            "telephone_number": "786-916-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 MEDINAH CIR E",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671345",
            "telephone_number": "786-916-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CHRISTIAN",
        "middle_name": "DE JESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredy Lopez Paredes
• Liliana Lopez Rodriguez
• Maritza Lopez Silva
• Grisell Lopez-Fragoso, MD
• Bianca Lopez
• Deanna Lopez
• Emilio Enrique Lopez, M.D.
• Jessica Lopez
• Jose Francisco Lopez, ST/SA-C
• Kenia De la C Lopez, D.D.S.

• Behavior Technician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.