Active NPI
Lidice Perez Lopez
- Behavior Technician
- Port Saint Lucie, FL
National Provider Identifier
1982459228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24333640
- 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, 2026
- Sex
- Female
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24333640 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Basics, Incorporated | Single Specialty | Current | Accepting new patients |
| Behavior Basics, Incorporated | Single Specialty | Current | 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.