Lisa Eckelkamp, MS, CCC-SLP, BCBA is a
Behavior Analyst based in Corrales, New Mexico. Lisa Eckelkamp is licensed to practice in New Mexico (license number 11623536) and her current practice location is
5 Maes Rd, B, Corrales, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 249-8714.
NPI number for Lisa Eckelkamp is 1174658819 and her current mailing address is Po Box 2674, Corrales, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174658819.
Healthcare Provider's Profile
| Full Name | Lisa Eckelkamp |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 5 Maes Rd, Corrales, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174658819
- Provider Enumeration Date: 02/22/2007
- Last Update Date: 04/21/2017
Medical Identifiers
Medical identifiers for Lisa Eckelkamp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174658819 | NPI | - | NPPES |
| 16939743 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 3167 (New Mexico) | Secondary |
| 103K00000X | Behavior Analyst | 11623536 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Eckelkamp is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lisa Eckelkamp, MS, CCC-SLP, BCBA Po Box 2674, Corrales, NM 87048 Ph: (505) 249-8714 | Lisa Eckelkamp, MS, CCC-SLP, BCBA 5 Maes Rd, B, Corrales, NM 87048 Ph: (505) 249-8714 |
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