National Provider Identifier

Heather Nicole Eckstrom, BCBA, LBA

Heather Nicole Eckstrom, BCBA, LBA is listed in the NPPES registry with a primary specialty of Behavior Analyst in Silver Creek, NY and a listed phone number of (716) 365-9102.

NPI 1407670623Silver Creek, NYBehavior Analyst

Profile Overview

NPI
1407670623
Provider Type
Individual
Primary Specialty
Behavior Analyst
Enumeration Date
November 13, 2024
Last Updated
November 13, 2024

Practice Location

  • 12 Madison Ave
  • Silver Creek, NY 14136-1020

Phone: (716) 365-9102

Specialties

  • Behavior Analyst (103K00000X)
Full Record
NPI
1407670623
Entity Type
Individual
Last Name
Eckstrom
First Name
Heather
Middle Name
Nicole
Credential
BCBA, LBA
Mailing Street Address
12 Madison Ave
Mailing City
Silver Creek
Mailing State
NY
Mailing ZIP Code
14136-1020
Mailing Country
US
Mailing Phone
(716) 365-9102
Practice Street Address
12 Madison Ave
Practice City
Silver Creek
Practice State
NY
Practice ZIP Code
14136-1020
Practice Country
US
Practice Phone
(716) 365-9102
Enumeration Date
November 13, 2024
Last Updated
November 13, 2024
Sex
Female
Sole Proprietor
No
Certification Date
November 13, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Behavior Analyst (103K00000X)