Individual provider Active NPI

Anissa Elodia Lopez

  • Assistant Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1659282028
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
1831 W Rose Garden LN Ste 4
Phoenix, AZ 85027-2725
Phone
(602) 808-9912
NPI assigned
Sep 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X AZ Primary

Addresses

Primary practice location

1831 W Rose Garden LN Ste 4
Phoenix, AZ 85027-2725

Mailing address

253 E Ponderosa St
Tucson, AZ 85705-1721
Phone (520) 833-6348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1659282028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 E PONDEROSA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051721",
            "telephone_number": "520-833-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 W ROSE GARDEN LN STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272725",
            "telephone_number": "602-808-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ANISSA",
        "middle_name": "ELODIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.