Provider Demographics
NPI:1649790049
Name:RIVERA, ERIN DIXON (MED, BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:DIXON
Last Name:RIVERA
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 FM 1960 RD W STE 1000
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5654
Mailing Address - Country:US
Mailing Address - Phone:832-525-4742
Mailing Address - Fax:
Practice Address - Street 1:8300 FM 1960 RD W STE 1000
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5654
Practice Address - Country:US
Practice Address - Phone:832-525-4742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-17-26509103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1016OtherLICENSED BEHAVIOR ANALYST
TX1-17-26509OtherBCBA CERT ID