Individual ProviderKatya LopezBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address1401 S State St Unit 907, Chicago, IL 60605-3626(239) 944-1670PECOS EnrollmentBased on the most recent information from CMS, provider Katya Lopez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1790338580Provider TypeIndividualFull NameLopez, KatyaCredentialBCBAGenderFemaleSole ProprietorNoEnumeration Date7/20/2019Last Updated10/24/2025Contact InformationPractice LocationPractice Address1401 S State St Unit 907, Chicago, IL 60605-3626Phone(239) 944-1670FaxUnlisted FaxMailing LocationMailing Address1401 S State St Unit 907, Chicago, IL 60605-3626Phone(239) 944-1670FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-24-75195Illinois