Provider Demographics
NPI:1023358066
Name:BEKESCHUS, MONIQUE AMANDA (MS, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:AMANDA
Last Name:BEKESCHUS
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5140 N FRUIT AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-3022
Mailing Address - Country:US
Mailing Address - Phone:559-449-1059
Mailing Address - Fax:559-225-2083
Practice Address - Street 1:5140 N FRUIT AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3022
Practice Address - Country:US
Practice Address - Phone:559-449-1059
Practice Address - Fax:559-225-2083
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst