MEDICARE: FRANCIS LOPEZ BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH22566	FL
2	103K00000X	Behavior Analyst	1-20-44195	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356957328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS LOPEZ BCBA

Provider Business Mailing Address
First Line	:	1730 DELIGHTFUL DR
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33896-7226
Country	:	US
Telephone Number	:	786-955-7838
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 3RD ST NW
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-4670
Country	:	US
Telephone Number	:	786-955-7838
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2020
Last Update Date	:	04/07/2026

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Directions to “ FRANCIS LOPEZ BCBA” Practice Location

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