Georgina M Lopez Candelario, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-15-07830

Practice address

10826 SW 243Rd LN
Homestead, FL 33032

Phone

(786) 717-0009

NPI assigned

May 31, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1851749972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10826 SW 243RD LN",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325108",
            "telephone_number": "786-717-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10826 SW 243RD LN",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33032",
            "telephone_number": "786-717-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ CANDELARIO",
        "first_name": "GEORGINA",
        "middle_name": "M",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-15-07830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103116900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "RBT-15-07830",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Jean Long, ARNP
• Longevity Assisted Living Facility Corp
• Carlos Rogelio Lopez Abreu
• Liliana Lopez Argote
• Anaicy Lopez Artze
• Raymundo Rene Lopez Capdevila
• Yelen Lopez Concepcion, LCSW
• Yeney Lopez Diaz
• Noemi Lopez Enamorado, RBT
• Oldeyanes Oleday Lopez Espinosa

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.