Individual provider Active NPI

Claudia Valentina Lopez Reyes, BCBA

  • Behavior Analyst
  • Roswell, GA
National Provider Identifier
1881960664
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-26268
Practice address
885 Woodstock Rd Ste 430-226
Roswell, GA 30075-2277
Phone
(404) 641-4024
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 1-17-26268 Primary

Addresses

Primary practice location

885 Woodstock Rd Ste 430-226
Roswell, GA 30075-2277

Mailing address

10700 NW 77TH St
Medley, FL 33178-2214
Phone (786) 499-2615

Other practice location 1

3520 Oaks Way Apt 904
Pompano Beach, FL 33069-5387
Phone (305) 807-1909

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

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881960664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 NW 77TH ST",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331782214",
            "telephone_number": "786-499-2615",
            "fax_number": "305-846-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 WOODSTOCK RD STE 430-226",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752277",
            "telephone_number": "404-641-4024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3520 Oaks Way Apt 904",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330695387",
            "country_code": "US",
            "telephone_number": "305-807-1909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ REYES",
        "first_name": "CLAUDIA",
        "middle_name": "VALENTINA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-26268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

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