Provider Demographics
NPI:1851978860
Name:TIER 3 MONTESSORI
Entity Type:Organization
Organization Name:TIER 3 MONTESSORI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:LOPEZ-BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA, IBA
Authorized Official - Phone:512-906-9922
Mailing Address - Street 1:304 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-5247
Mailing Address - Country:US
Mailing Address - Phone:512-906-9922
Mailing Address - Fax:
Practice Address - Street 1:304 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-5247
Practice Address - Country:US
Practice Address - Phone:512-906-9922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty