Individual provider Active NPI

Maylin Rodriguez Lopez

  • Behavior Technician
  • Delray Beach, FL
National Provider Identifier
1659911279
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-85532 Issued in FL
Practice address
1300 NW 17TH Ave Ste 272
Delray Beach, FL 33445-2562
Phone
(561) 865-7084
Fax
(561) 501-5413
NPI assigned
Jan 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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-19-85532 FL Primary

Addresses

Primary practice location

1300 NW 17TH Ave Ste 272
Delray Beach, FL 33445-2562

Mailing address

5180 W Atlantic Ave Ste 112
Delray Beach, FL 33484-8103
Phone (508) 328-9147

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-19-85532FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Three Dots LLC CurrentSince Mar 31, 2024 Accepting new patients

Locations

1300 NW 17th Ave
Ste 272
Delray Beach, FL 33445
Phone (305) 479-7262

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1659911279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 W ATLANTIC AVE STE 112",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848103",
            "telephone_number": "508-328-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NW 17TH AVE STE 272",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452562",
            "telephone_number": "561-865-7084",
            "fax_number": "561-501-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ LOPEZ",
        "first_name": "MAYLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-11",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-85532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.