Individual provider Active NPI

Cassandra Socorro Lopez

  • Behavior Technician
  • Cedar Park, TX
National Provider Identifier
1972141075
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1603 Medical Pkwy Ste 100
Cedar Park, TX 78613-7904
Phone
(512) 910-3469
NPI assigned
Dec 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 Primary

Addresses

Primary practice location

1603 Medical Pkwy Ste 100
Cedar Park, TX 78613-7904

Mailing address

1603 Medical Pkwy Ste 100
Cedar Park, TX 78613-7904

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://behavioral-innovations.com/locations/cedar-park/ Monarch Behavioral Therapy BII, LLC

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": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1972141075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 MEDICAL PKWY STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 MEDICAL PKWY STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137904",
            "telephone_number": "512-910-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CASSANDRA",
        "middle_name": "SOCORRO",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://behavioral-innovations.com/locations/cedar-park/",
            "affiliation": "Y",
            "affiliationName": "Monarch Behavioral Therapy BII, LLC",
            "address_1": "1603 Medical Pkwy Ste 100",
            "city": "Cedar Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786137904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.