Active NPI
Alexander Lopez Jr.
- Behavior Technician
- Sunrise, FL
National Provider Identifier
1992289060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 19-79734
- Practice address
- 440 Sawgrass Corporate Pkwy Ste 106
Sunrise, FL 33325-6236 - Phone
- (954) 745-1112
- Fax
- (954) 745-1120
- NPI assigned
- Sep 24, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 19-79734 | FL | Primary |
Addresses
Primary practice location
440 Sawgrass Corporate Pkwy Ste 106
Sunrise, FL 33325-6236
Mailing address
440 Sawgrass Corporate Pkwy Ste 106
Sunrise, FL 33325-6236
Phone (954) 745-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EAHCA013Z | Medicaid | FL |
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 |
|---|---|---|---|
| 19-79734 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1992289060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 SAWGRASS CORPORATE PKWY STE 106",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333256236",
"telephone_number": "954-745-1112",
"fax_number": "954-745-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 SAWGRASS CORPORATE PKWY STE 106",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333256236",
"telephone_number": "954-745-1112",
"fax_number": "954-745-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ALEXANDER",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-24",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "19-79734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EAHCA013Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.