MEDICARE: ERIN LOPATER BCBA, LBA

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	103K00000X	Behavior Analyst	2024022268	MO

General Provider Information

NPI Number	:	1528583887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN LOPATER BCBA, LBA

Provider Business Mailing Address
First Line	:	2102 GREEN ASH CT
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-5451
Country	:	US
Telephone Number	:	321-439-4002
Fax Number	:

Provider Business Practice Location Address
First Line	:	2102 GREEN ASH CT
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-5451
Country	:	US
Telephone Number	:	321-439-4002
Fax Number	:

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

Provider Enumeration Date	:	08/08/2017
Last Update Date	:	10/30/2024

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