Individual provider Active NPI

Ana Ysabel Estefania Lopez

  • Behavior Technician
  • Doral, FL
National Provider Identifier
1639938152
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-332036 Issued in FL
Practice address
11201 NW 83Rd St Apt 205
Doral, FL 33178-1748
Phone
(305) 804-1470
NPI assigned
Mar 18, 2024
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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-24-332036 FL Primary

Addresses

Primary practice location

11201 NW 83Rd St Apt 205
Doral, FL 33178-1748

Mailing address

11201 NW 83Rd St Apt 205
Doral, FL 33178-1748
Phone (305) 804-1470

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-24-332036FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1639938152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 NW 83RD ST APT 205",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331781748",
            "telephone_number": "305-804-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 NW 83RD ST APT 205",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331781748",
            "telephone_number": "305-804-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEFANIA LOPEZ",
        "first_name": "ANA",
        "middle_name": "YSABEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-332036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.