Individual provider Active NPI

Amanda Lopez

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1790430437
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-203493 Issued in FL
Practice address
18150 NW 59TH Ave Apt 203
Hialeah, FL 33015-5668
Phone
(305) 903-8277
NPI assigned
Feb 21, 2022
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-203493 FL Primary

Addresses

Primary practice location

18150 NW 59TH Ave Apt 203
Hialeah, FL 33015-5668

Mailing address

18150 NW 59TH Ave Apt 203
Hialeah, FL 33015-5668
Phone (305) 903-8277

Other identifiers 1

IdentifierTypeStateIssuer
RBT-22-203493OtherFLBACB - BEHAVIOR ANALYST CERTIFICATION BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ADDRESS Direct

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

LicenseStateTypeSpecialty
RBT-22-203493FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1790430437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18150 NW 59TH AVE APT 203",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155668",
            "telephone_number": "305-903-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18150 NW 59TH AVE APT 203",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155668",
            "telephone_number": "305-903-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-203493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB - BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "RBT-22-203493",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ADDRESS",
            "affiliation": "N",
            "endpointDescription": "ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18150 NW 59th Ave Apt 203",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330155668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.