NPI 1003337445

Leah Oberst Kakovkin, MSBCBA

Practitioner Behavior Analyst Jeffersonville, IN

Practice location

Address: 355 Quartermaster CT, Jeffersonville, IN 47130-3670
Phone: (812) 258-9802
Fax: (317) 520-8200
Mailing address: 3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-17-25202

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Registry record

NPI: 1003337445
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2017
Record last updated: 18 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.