Michael Gerald Lopez
Individual provider Active NPI Behavior Technician · Fillmore, CA
NPI 1629834239 · NPPES record last updated Feb 22, 2024
Key facts
- NPI
- 1629834239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 163 4TH St
Fillmore, CA 93015-1417 - Phone
- (805) 206-5882
- NPI assigned
- Feb 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
163 4TH St
Fillmore, CA 93015-1417
Mailing address
163 4TH St
Fillmore, CA 93015-1417
Phone (805) 206-5882
Other providers in Fillmore, CA
- Jennessy Jade Juarez
- Life Center of America
- Ting Wen Liu
- Logan Bundy MD
- Rosanna Halcon Lomeli
- Nancy Luna
- Eliasar Benjamin Macias
- Gabriela Guadalupe Macias
- Araceli Magana
- Anne H Marcelino
All providers in Fillmore, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.