Individual provider Active NPI

Lianny Lopez

  • Behavior Technician
  • Doral, FL
National Provider Identifier
1851919419
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
20-125278 Issued in FL
Practice address
10200 NW 25TH St # a-108
Doral, FL 33172-5921
Phone
(786) 717-5649
NPI assigned
Jul 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA16030 FL
Behavior Technician 106S00000X 20-125278 FL Primary

Addresses

Primary practice location

10200 NW 25TH St # a-108
Doral, FL 33172-5921

Mailing address

11960 SW 3Rd St
Miami, FL 33184-1608
Phone (786) 479-7337

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
20-125278FLMDBehavior Technician
OTA16030FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Speech Therapy CurrentSince May 1, 2022 Accepting new patients
Exceptional Speech Therapy CurrentSince May 1, 2022 Accepting new patients

Locations

10200 NW 25th St
Ste 108A
Doral, FL 33172
Phone (786) 717-5649

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1851919419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11960 SW 3RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841608",
            "telephone_number": "786-479-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST # A-108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725921",
            "telephone_number": "786-717-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LIANNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA16030",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "20-125278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.