Healthcare Provider Details

I. General information

NPI: 1205412798
Provider Name (Legal Business Name): ERIN ELIZABETH LOPEZ-BROOKS M.ED, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 W IRVINGTON RD
TUCSON AZ
85746-4106
US

IV. Provider business mailing address

302 E MAIN ST
ROUND ROCK TX
78664-5247
US

V. Phone/Fax

Practice location:
  • Phone: 520-666-7890
  • Fax:
Mailing address:
  • Phone: 512-906-9922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-45339
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: