EDGAR GARY LOPEZ (NPI# 1154989143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154989143 |
| Entity Type | Individual |
| Full Name | EDGAR GARY LOPEZ |
| Credential | AA, AS, RBT |
| Practice Address |
1300 E New Circle Rd Ste 150 Lexington KY 40505-4322 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 8596851019 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-86895 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RBT CERTIFICATE | RBT-19-86895 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154676112 | Edgar Lopez | Licensed Vocational Nurse | 3392 Spruce St, Lake Elsinore, CA 92530-1882 | 2012-07-16 |
| 1598712432 | Edgar Karim Lopez | Dentist | 17996 Sw 97th Ave, Miami, FL 33157 | 2006-05-27 |
| 1033747860 | Edgar Ruben Lopez | Internal Medicine | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-03-28 |
| 1952956971 | Edgar Antonio Lopez | Counselor | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-08-06 |
| 1730681289 | Edgar Lopez | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2018-03-01 |
| 1316308752 | Edgar Lopez | Physical Therapy Assistant | 311 Ne 8th St Ste 104, Homestead, FL 33030-4734 | 2016-03-13 |
| 1275877383 | Edgar Francisco Lopez | Specialist/Technologist, Other | 1 Sugar Creek Center Blvd Ste 618, Sugar Land, TX 77478-3540 | 2012-11-15 |
| Street Address |
1300 E NEW CIRCLE RD STE 150 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40505-4322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558728816 | Jane Katherine Detoma | Behavioral Analyst | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-9001 | 2016-01-18 |
| 1740889534 | Alegria Meryl Bentley | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-10-22 |
| 1295334183 | Courtney Rose Colliers | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-10-21 |
| 1558960443 | Kendra Lee Reyes | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-10-21 |
| 1548869431 | Tristan Michael Roberson | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-10-21 |
| 1073110938 | Hope Elizabeth Gassett | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-10-05 |
| 1891302436 | Jalen David Clemmons | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-09-28 |
| 1437766078 | Austin Daniel Call | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-09-28 |
| 1710594346 | Emily Lauren Thomas | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-09-28 |
| 1720694854 | Cassidy Dawn Souder | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629548219 | Leah Morgan Adekoya | Occupational Therapist | 1300 East New Circle Road Suite 150, Lexington, KY 40505 | 2018-11-27 |
| 1972029825 | Sarah Thompson | Community Health Worker | 2250 Thunderstick Drive, 1104, Lexington, KY 40505 | 2017-08-22 |
| 1740717552 | Amber Nichols | Counselor | 2250 Thunderstruck Drive, Lexington, KY 40505 | 2017-05-11 |
| 1588195770 | Attender Care LLC | In Home Supportive Care | 1022 Highland Park Drive, Lexington, KY 40505 | 2017-03-21 |
| 1194261750 | Elite Performance & Individualized Care Chiropractic, Pllc | Chiropractor | 1300 E New Circle Rd Ste 160, Lexington, KY 40505 | 2017-01-06 |
| 1063880870 | Heather Nicole Cox | Nurse Practitioner | 2285 Executive Dr Ste 100, Lexington, KY 40505 | 2015-09-10 |
| 1962818617 | Paul Wong | Pharmacist | 800 Rose St, Room H110, University of Kentucky, Lexington, KY 40505 | 2014-07-02 |
| 1720404593 | Kahndra Chauntay Franklin | Specialist | 952 Winchester Rd, Suite 120, Lexington, KY 40505 | 2014-03-17 |
| 1568734572 | Richard Joseph Simpson | Chiropractor | 1300 E New Circle Rd, Ste 160, Lexington, KY 40505 | 2012-02-07 |
| 1598040719 | Sena Jill Comfort | Pharmacist | 260 New Circle Rd, Lexington, KY 40505 | 2011-10-19 |
| Find all providers in zip 40505 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790013 | Jennifer Waterman | Behavior Technician | 333 W Butler St, Lexington, SC 29072-2605 | 2020-11-04 |
| 1508410572 | Arielle Isaacson | Behavior Technician | 48 Solomon Pierce Rd, Lexington, MA 02420-2534 | 2019-07-29 |
| 1710453345 | Shalonda N Carter | Behavior Technician | 119 Westpointe Ct Apt B, Lexington, SC 29073-6944 | 2018-10-22 |
| 1497356679 | Rebecca Gunter | Behavior Technician | 333 W Butler St, Lexington, SC 29072-2605 | 2020-11-04 |
| 1740889534 | Alegria Meryl Bentley | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-10-22 |
| 1275132219 | Kendal Morris | Behavior Technician | 1035 Strader Dr Ste 150, Lexington, KY 40505-4090 | 2020-10-21 |
| 1295334183 | Courtney Rose Colliers | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-10-21 |
| 1558960443 | Kendra Lee Reyes | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-10-21 |
| 1548869431 | Tristan Michael Roberson | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-10-21 |
| 1962000562 | Hannah Winkle | Behavior Technician | 1035 Strader Dr Ste 150, Lexington, KY 40505-4090 | 2020-10-15 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.