Alondra Soe Siberio Lopez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1324 State Road 60 E
Lake Wales, FL 33853-4322

Phone

(863) 207-7753

NPI assigned

Sep 5, 2022

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

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": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1922729417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 DR MARTIN LUTHER KING ST",
            "city": "DUNDEE",
            "state": "FL",
            "postal_code": "338384512",
            "telephone_number": "863-207-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 STATE ROAD 60 E",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534322",
            "telephone_number": "863-207-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBERIO LOPEZ",
        "first_name": "ALONDRA",
        "middle_name": "SOE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Living Properties II, LLC
• SGC Care LLC
• Ashish K Shah, B.S. PHARMACY
• Sanjaykumar Kantilal Shah, RPH
• Chasity Shepard
• Alec Jordan Simonson, DMD, MS
• Mazvita Ethel Simoyi, MD
• Cynthia Singleton, APRN
• Stacy Jane Slaght, APRN
• Rebecca H Slater, CCC SLP

• Behavior Technician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.