Provider Demographics
NPI:1467855288
Name:LOPER, ERIN (BCBA, LBA)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:LOPER
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 829
Mailing Address - Street 2:
Mailing Address - City:MALAKOFF
Mailing Address - State:TX
Mailing Address - Zip Code:75148-0829
Mailing Address - Country:US
Mailing Address - Phone:903-386-3373
Mailing Address - Fax:
Practice Address - Street 1:214 N TERRY ST STE C
Practice Address - Street 2:
Practice Address - City:MALAKOFF
Practice Address - State:TX
Practice Address - Zip Code:75148-9662
Practice Address - Country:US
Practice Address - Phone:903-386-3373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-07
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1766103K00000X
TX34004103TS0200X
TX1-14-10432103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool