Active NPI
Andrea Victoria Lopez Raspa
- Behavior Technician
- Pembroke Pines, FL
National Provider Identifier
1972350585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 24-381494
- Practice address
- 701 Promenade Dr Ste 250
Pembroke Pines, FL 33026-6035 - Phone
- (954) 399-2637
- NPI assigned
- May 1, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 24-381494 | FL | Primary |
Addresses
Primary practice location
701 Promenade Dr Ste 250
Pembroke Pines, FL 33026-6035
Mailing address
1224 NE 5TH Ter
Fort Lauderdale, FL 33304-4980
Phone (561) 873-3140
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24-381494 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1972350585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 NE 5TH TER",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333044980",
"telephone_number": "561-873-3140",
"fax_number": "954-272-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PROMENADE DR STE 250",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330266035",
"telephone_number": "954-399-2637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ RASPA",
"first_name": "ANDREA",
"middle_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2024-05-01",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "24-381494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.