Marcia Vonceil Lopez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-91477 Issued in FL

Practice address

4575 SE Dixie Hwy
Stuart, FL 34997-6826

Phone

(855) 832-6727

Fax

(772) 675-9100

NPI assigned

Jul 29, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1790339679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 40TH AVE # R3",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600718",
            "telephone_number": "772-299-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 SE DIXIE HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976826",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARCIA",
        "middle_name": "VONCEIL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-91477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://sharepoint.teampbs.com",
            "affiliation": "N",
            "address_1": "1455 40th Ave # R3",
            "city": "Vero Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329600718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ingrid Gabriella Lopez
• Julissa Ilene Lopez
• Leigh Ann Lopez
• Leonel Alejandro Lopez, D.O.
• Lindsay Lopez
• Marilyn Lopez
• Martin Pascual Lopez
• Natalie Lopez
• Nicholas Lopez
• Onidis Patricia Lopez, MSN, APRN, CNM-BC

• Behavior Technician in Stuart, FL
• Providers in Stuart, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.