Provider Demographics
NPI:1215444203
Name:LOPES, ERIKA MICHELLE (BCBA LABA MS)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:MICHELLE
Last Name:LOPES
Suffix:
Gender:F
Credentials:BCBA LABA MS
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:MICHELLE
Other - Last Name:VAVREK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4620 N STATE ROAD 7 STE 300
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33319-5867
Mailing Address - Country:US
Mailing Address - Phone:561-335-5681
Mailing Address - Fax:
Practice Address - Street 1:639 GRANITE ST STE 230
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-5366
Practice Address - Country:US
Practice Address - Phone:818-241-6780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-29
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
UT111665092507106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst