Active NPI
Gracia Maria Lopez
- Behavior Analyst
- Pembroke Pines, FL
National Provider Identifier
1700650678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 701 Promenade Dr Ste 250
Pembroke Pines, FL 33026-6035 - Phone
- (954) 279-4978
- NPI assigned
- Nov 13, 2023
- 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 | FL | Primary |
Addresses
Primary practice location
701 Promenade Dr Ste 250
Pembroke Pines, FL 33026-6035
Mailing address
13455 NE 10TH Ave Apt 303
North Miami, FL 33161-4146
Phone (954) 279-4978
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1700650678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13455 NE 10TH AVE APT 303",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331614146",
"telephone_number": "954-279-4978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PROMENADE DR STE 250",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330266035",
"telephone_number": "954-279-4978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "GRACIA",
"middle_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.