Organization
MICHELLE KERSKA, BCBA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE KERSKA LCSW, BCBA (OWNER)
(858) 531-0804
Entity
Organization
Contact information
Practice address
7220 W JEFFERSON AVE, 401, LAKEWOOD, CO 80235-2031
(858) 531-0804
Mailing address
7220 W JEFFERSON AVE, 401, LAKEWOOD, CO 80235-2031
(858) 531-0804
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1073382
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67775233
MEDICAID HCBS WAIVER
CO
Enumeration date
08/26/2015
Last updated
01/05/2016
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