Provider Demographics
NPI:1750947990
Name:HECKERS, DESIREE NOELLE (MSED, BCBA)
Entity type:Individual
Prefix:
First Name:DESIREE
Middle Name:NOELLE
Last Name:HECKERS
Suffix:
Gender:F
Credentials:MSED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 N PENN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-2756
Mailing Address - Country:US
Mailing Address - Phone:610-314-6697
Mailing Address - Fax:
Practice Address - Street 1:1086 HIGHWAY 315 BLVD
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-7012
Practice Address - Country:US
Practice Address - Phone:570-846-1025
Practice Address - Fax:570-904-8571
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1972789840OtherSOUTHEASTERN PENNSYLVANIA AUTISM RESOURCE CENTER