Individual provider Active NPI

Esteban Alfonso Lopez, BCABA

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1750898474
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-55132 Issued in FL
Practice address
260 NW 71St Ave Apt 501
Miami, FL 33126-4345
Phone
(786) 539-8436
NPI assigned
Jan 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-55132 FL Primary

Addresses

Primary practice location

260 NW 71St Ave Apt 501
Miami, FL 33126-4345

Mailing address

260 NW 71St Ave Apt 501
Miami, FL 33126-4345
Phone (786) 539-8436

Other identifiers 1

IdentifierTypeStateIssuer
103009000MedicaidFL

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": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1750898474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NW 71ST AVE APT 501",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264345",
            "telephone_number": "786-539-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NW 71ST AVE APT 501",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264345",
            "telephone_number": "786-539-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO LOPEZ",
        "first_name": "ESTEBAN",
        "name_prefix": "Mr.",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-55132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103009000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.