Provider Demographics
NPI:1033566179
Name:ERICA OOSTHOEK
Entity Type:Organization
Organization Name:ERICA OOSTHOEK
Other - Org Name:NEXT LEVEL INTERVENTIONS
Other - Org Type:Other Name
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:OOSTHOEK
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA
Authorized Official - Phone:570-460-2202
Mailing Address - Street 1:6423 DONAHUE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-7666
Mailing Address - Country:US
Mailing Address - Phone:570-460-2202
Mailing Address - Fax:
Practice Address - Street 1:6423 DONAHUE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-7666
Practice Address - Country:US
Practice Address - Phone:570-460-2202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-14-15730103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty