Kakovkin, Leah Oberst

Kakovkin, Leah Oberst is an individual health care provider with primary practice located at 355 Quartermaster Ct , Jeffersonville IN 47130-3670. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kakovkin, Leah Oberst can be contacted via phone (812) 258-9802.

Contact Information

Primary practice address
355 Quartermaster Ct Jeffersonville IN 47130-3670
Phone: (812) 258-9802
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-25202

Profile Details

NPI number 1003337445
LBN Legal business name Kakovkin, Leah Oberst
Credentials MS, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2017
Last updated Jun 18th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003337445 NPPES
Other 1-17-25202 BCBA CERTIFICATE

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