Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740827195 Individual Practitioner Male Practitioner

Jack Lopez , BCBA

Behavior Analyst • West Covina, CA

Professional Overview & Biography Verified Profile Summary

Jack Lopez, BCBA is a registered healthcare professional specializing in Behavior Analyst in West Covina, CA. Practice services are available at 1050 WEST LAKES DR #225 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1050 West Lakes Dr #225
Pmb #3097

West Covina, CA 91790

Telephone 3239434400
Associated Practice Facility / Clinic
🏢 Legendary Behavioral Services Facility NPI 1477378461

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in West Covina, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
66 Specialists

Practicing in West Covina, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-12
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-23-63964

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location November 12, 2024

Registered at 1050 WEST LAKES DR #225, PMB #3097, WEST COVINA, CA 91790 (Tel: 3239434400)

📍
Updated Business Mailing Address November 12, 2024

Registered at 1050 LAKES DR STE 225, PMB #3097, WEST COVINA, CA 917902910 (Tel: 3239434400)

👤
Provider Name / Credentials Updated November 12, 2024

Recorded as JACK LOPEZ, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2024

Behavior Analyst (License #1-23-63964 in CA)

NPI Profile Active December 04, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2019

Registered at 21600 OXNARD ST STE 1030, WOODLAND HILLS, CA 913675085 (Tel: 8772061009)

📍
Updated Business Mailing Address December 04, 2019

Registered at 21600 OXNARD ST STE 1030, WOODLAND HILLS, CA 913675085 (Tel: 8772061009)

👤
Provider Name / Credentials Updated December 04, 2019

Recorded as JACK LOPEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration December 04, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740827195
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2019
Last Update: November 12, 2024
Sole Proprietor: No

Mailing Address

1050 Lakes Dr Ste 225, Pmb #3097

West Covina, CA 917902910

Phone: 3239434400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.