Individual provider Active NPI

Lidice Perez Lopez

  • Behavior Technician
  • Port Saint Lucie, FL
National Provider Identifier
1982459228
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24333640 Issued in FL
Practice address
1801 SE Hillmoor Dr Ste B101-103
Port Saint Lucie, FL 34952-7553
Phone
(772) 463-0444
NPI assigned
Apr 19, 2024
Last updated
Jan 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT-24333640 FL Primary

Addresses

Primary practice location

1801 SE Hillmoor Dr Ste B101-103
Port Saint Lucie, FL 34952-7553

Mailing address

912 Bergamot LN Apt 4307
Melbourne, FL 32904-5233
Phone (201) 577-2120

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
RBT-24333640FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Basics, Incorporated Single Specialty CurrentSince Apr 21, 2024 Accepting new patients
Behavior Basics, Incorporated Single Specialty CurrentSince Apr 21, 2024 Accepting new patients

Locations

1801 SE Hillmoor Dr
Ste B101103
Port St Lucie, FL 34952
Phone (321) 425-3231

1887 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 219-1339

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1982459228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 BERGAMOT LN APT 4307",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329045233",
            "telephone_number": "201-577-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR STE B101-103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-463-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ LOPEZ",
        "first_name": "LIDICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24333640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; 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.