Provider Demographics
NPI:1154995983
Name:COOPER, LILY KATHERINE (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:LILY
Middle Name:KATHERINE
Last Name:COOPER
Suffix:
Gender:
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3006 BEE CAVES RD STE B200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6751
Mailing Address - Country:US
Mailing Address - Phone:123-285-5995
Mailing Address - Fax:
Practice Address - Street 1:3006 BEE CAVES RD STE B200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6751
Practice Address - Country:US
Practice Address - Phone:123-285-5995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
156F00000X
1-25-80334103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No156F00000XEye and Vision Services ProvidersTechnician/Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-25-80334OtherBEHAVIOR ANALYST CERTIFICATION BOARD