Active NPI
Mayra P Lule Lopez, BCBA
- Behavior Analyst
- Carson, CA
National Provider Identifier
1679968895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1149506
- Practice address
- 21730 Grace Ave
101
Carson, CA 90745-2773 - Phone
- (111) 111-1111
- NPI assigned
- Apr 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1149506 | CA | Primary |
Addresses
Primary practice location
21730 Grace Ave
101
Carson, CA 90745-2773
Mailing address
21730 Grace Ave
101
Carson, CA 90745-2773
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1149506 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1679968895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21730 GRACE AVE",
"address_2": "101",
"city": "CARSON",
"state": "CA",
"postal_code": "907452773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21730 GRACE AVE",
"address_2": "101",
"city": "CARSON",
"state": "CA",
"postal_code": "907452773",
"telephone_number": "111-111-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LULE LOPEZ",
"first_name": "MAYRA",
"middle_name": "P",
"name_prefix": "Miss",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1149506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.