Leah Oberst Kakovkin
Behavior Analyst
355 Quartermaster Ct
Jeffersonville
, Indiana 47130-3670
Leah Oberst Kakovkin
Behavior Analyst
355 Quartermaster Ct
Jeffersonville
, Indiana 47130-3670
(317) 520-8200
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Leah Oberst Kakovkin
- 3500 Depauw Blvd Ste 3070
- Indianapolis, IN
- Zip : 46268-6135
- Fax : (317) 520-8200
- Phone : (855) 324-0885
Second Address
- Leah Oberst Kakovkin
- 355 Quartermaster Ct
- Jeffersonville, IN
- Zip : 47130-3670
- Fax : (317) 520-8200
- Phone : (812) 258-9802
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | 1-17-25202 |
National Provider Identifier
| NPI | 1003337445 |
|---|---|
| Provider Name | Leah Oberst Kakovkin |
| First Address | Indianapolis, IN 46268-6135 |
| Second Address | Jeffersonville, IN 47130-3670 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2017 |
| Last Update Date | 18/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1-17-25202 | BCBA CERTIFICATE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.