Koralis Mary Ayala Lopez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1728 Lilaberry LN
Niceville, FL 32578-8740

Phone

(850) 842-9750

NPI assigned

Jul 21, 2020

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1770191223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 WAVE HL APT 304",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309077349",
            "telephone_number": "706-231-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 LILABERRY LN",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788740",
            "telephone_number": "850-842-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA LOPEZ",
        "first_name": "KORALIS",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eamon Anderson
• Olivia Andrews
• Cinderella B Aquino, M.D.
• Gregory Brent Archer, PA-C
• Julie Anne Augustine, PA-C
• Laura Ayotte
• Gabrielle Aziz, RDN, LDN, CHES, CHC
• Ashley Babler
• Cameron Bader, PA-C
• Falynn Baheth, LMSW

• Behavior Analyst in Niceville, FL
• Providers in Niceville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.