Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962124131 Individual Practitioner Female Practitioner

Elise Lopez

Behavior Technician • Pooler, GA

Professional Overview & Biography Verified Profile Summary

Elise Lopez is a registered healthcare professional specializing in Behavior Technician in Pooler, GA. Practice services are available at 105 GRAND CENTRAL BLVD STE 10 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 Grand Central Blvd Ste 10

Pooler, GA 313224148

Telephone 9122443305

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Pooler, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
268 Specialists

Practicing in Pooler, GA (12251 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: 2026-03-12
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Akeelia Williams

Behavior Technician

NPI 1003692914
Amonyah Jones

Behavior Technician

NPI 1013796135
Nicole Tillmann

Behavior Technician

NPI 1023888997
Bailee Barnard

Behavior Technician

NPI 1033920616
Kiersten Campbell

Behavior Technician

NPI 1033963772
Lauren Dewitt

Behavior Technician

NPI 1043047731

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 12, 2026

Registered at 105 GRAND CENTRAL BLVD STE 10, POOLER, GA 313224148 (Tel: 9122443305)

📍
Updated Business Mailing Address March 12, 2026

Registered at 105 GRAND CENTRAL BLVD STE 10, POOLER, GA 313224148 (Tel: 9122443305)

NPI Profile Active September 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2022

Registered at 21201 VICTORY BLVD STE 205, CANOGA PARK, CA 913034056 (Tel: 8884283223)

📍
Updated Business Mailing Address September 14, 2022

Registered at 4221 WILSHIRE BLVD STE 300A, LOS ANGELES, CA 900103537 (Tel: 8884283223)

👤
Provider Name / Credentials Updated September 14, 2022

Recorded as ELISE LOPEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2022

Behavior Technician

🟢
Initial NPI Registration & Enumeration September 14, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1962124131
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2022
Last Update: March 12, 2026
Sole Proprietor: No

Mailing Address

105 Grand Central Blvd Ste 10

Pooler, GA 313224148

Phone: 9122443305

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.