Provider Demographics
NPI:1639414691
Name:LESKOVIC, ERIN (MSED, BCBA, SBL/SDL)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:LESKOVIC
Suffix:
Gender:F
Credentials:MSED, BCBA, SBL/SDL
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:BULKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:159 ASHFORD AVE
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-1923
Mailing Address - Country:US
Mailing Address - Phone:201-658-2489
Mailing Address - Fax:
Practice Address - Street 1:159 ASHFORD AVE
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1923
Practice Address - Country:US
Practice Address - Phone:201-658-2489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-03
Last Update Date:2015-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY90700071174400000X
NY000743103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No174400000XOther Service ProvidersSpecialist