MEDICARE: ZAIRA LOPEZ

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
1	106E00000X	Assistant Behavior Analyst	14962
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst	1-26-89151	CO

General Provider Information

NPI Number	:	1144736604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAIRA LOPEZ

Provider Business Mailing Address
First Line	:	1330 QUAIL LAKE LOOP STE 200
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-4651
Country	:	US
Telephone Number	:	719-540-2152
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 QUAIL LAKE LOOP STE 200
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-4651
Country	:	US
Telephone Number	:	719-540-2152
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2017
Last Update Date	:	04/15/2026

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Directions to “ ZAIRA LOPEZ ” Practice Location

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