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NPI Code Detail

MEDICARE: ALEXIS LOPEZ RBT

MEDICARE: ALEXIS LOPEZ RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-495786CO

General Provider Information

NPI Number : 1932062411
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS LOPEZ RBT
Provider Business Mailing Address
First Line : PO BOX 151716
Second Line :
City : AUSTIN
State : TX
Zip : 78715-1716
Country : US
Telephone Number : 512-898-9044
Fax Number : 512-857-1423
Provider Business Practice Location Address
First Line : 245 S ACADEMY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-2713
Country : US
Telephone Number : 512-898-9044
Fax Number : 512-857-1423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ ALEXIS LOPEZ RBT” Practice Location

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