Provider Demographics
NPI:1447693718
Name:LOPEZ, ALLISON (MED, BCBA)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 WYOMING BLVD NE
Mailing Address - Street 2:STE M-4 #406
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-1846
Mailing Address - Country:US
Mailing Address - Phone:302-463-8717
Mailing Address - Fax:
Practice Address - Street 1:369 INVERNESS PKWY STE 375
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-6083
Practice Address - Country:US
Practice Address - Phone:303-284-7328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst