Individual
HEATHER NICOLE ECKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
12 MADISON AVE, SILVER CREEK, NY 14136-1020
(716) 365-9102
Mailing address
12 MADISON AVE, SILVER CREEK, NY 14136-1020
(716) 365-9102
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003634
NY
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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