Most Relevant Information
Provider Data
| NPI Number: | 1003337445 |
| Provider Name: | LEAH OBERST KAKOVKIN MS, BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-17-25202 |
Most Important Dates
| Enumeration Date: | 07/06/2017 |
| Last Updated: | 06/18/2019 |
Provider Practice Location
355 QUARTERMASTER CT
JEFFERSONVILLE
IN
471303670
Practice Location Phone/Fax
| Phone: | 8122589802 |
| Fax: | 3175208200 |
Provider Mailing Location
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS
IN
462686135
Provider Mailing Phone/Fax
| Phone: | 8553240885 |
| Fax: | 3175208200 |