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NPI Code Detail

MEDICARE: DESIREE NOELLE HECKERS MS.ED., BCBA

MEDICARE: DESIREE NOELLE HECKERS MS.ED., BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2106S00000XBehavior Technician
3101Y00000XCounselor

General Provider Information

NPI Number : 1750947990
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESIREE NOELLE HECKERS MS.ED., BCBA
Provider Business Mailing Address
First Line : 320 N PENN ST APT 1
Second Line :
City : WEST CHESTER
State : PA
Zip : 19380-2756
Country : US
Telephone Number : 610-314-6697
Fax Number :
Provider Business Practice Location Address
First Line : 1086 HIGHWAY 315 BLVD
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-7012
Country : US
Telephone Number : 570-846-1025
Fax Number : 570-904-8571
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2019
Last Update Date : 12/05/2024

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