LISA ECKELKAMP MS CCC-SLP BCBA NPI 1174658819

NPI Information

  • NPI: 1174658819
  • Provider Name: LISA ECKELKAMP, MS, CCC-SLP, BCBA
  • Classification: Behavior Analyst - 103K00000X
  • Entity Type: Individual
  • Address: 5 MAES RD
    B
    CORRALES, NM
    ZIP 87048
  • Phone: (505) 249-8714

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NPI Details

Lisa Eckelkamp, MS, CCC-SLP, BCBA is a behavior analyst in Corrales, NM. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. Lisa Eckelkamp, MS, CCC-SLP, BCBA NPI is 1174658819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5 MAES RD
B
CORRALES, NM
ZIP 87048
Phone: (505) 249-8714

The enumeration date for this NPI number is 2/22/2007 and was last updated on 4/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist3167NEW MEXICONo
2103K00000XBehavior Analyst11623536NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
116939743MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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