Provider Demographics
NPI:1154210581
Name:LOPEZ, LOVELY ALYSSA (BCBA)
Entity type:Individual
Prefix:MISS
First Name:LOVELY
Middle Name:ALYSSA
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1163 W JOHN CARPENTER FWY
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2525
Mailing Address - Country:US
Mailing Address - Phone:972-217-4090
Mailing Address - Fax:
Practice Address - Street 1:1163 W JOHN CARPENTER FWY
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2525
Practice Address - Country:US
Practice Address - Phone:972-217-4090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst