Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174658819 Individual Practitioner Female Practitioner

Lisa Eckelkamp , MS, CCC-SLP, BCBA

Behavior Analyst • Corrales, NM

Professional Overview & Biography Verified Profile Summary

Lisa Eckelkamp, MS, CCC-SLP, BCBA is a registered healthcare professional specializing in Behavior Analyst in Corrales, NM. Practice services are available at 5 MAES RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5 Maes Rd
B

Corrales, NM 87048

Telephone 5052498714

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Corrales, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Corrales, NM (1023 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License NM 11623536

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License NM 3167

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
16939743 (NM)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active April 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2017

Registered at 5 MAES RD, B, CORRALES, NM 87048 (Tel: 5052498714)

📍
Updated Business Mailing Address April 21, 2017

Registered at PO BOX 2674, CORRALES, NM 87048 (Tel: 5052498714)

👤
Provider Name / Credentials Updated April 21, 2017

Recorded as LISA ECKELKAMP, MS, CCC-SLP, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2017

Speech-Language Pathologist (License #3167 in NM)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5400 OBREGON RD NE, RIO RANCHO, NM 871441535 (Tel: 5058918526)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5452 TECAMEC RD NE, RIO RANCHO, NM 871443297 (Tel: 5058967793)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LISA ECKELKAMP-BAKER, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #3167 in NM)

🟢
Initial NPI Registration & Enumeration February 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174658819
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2007
Last Update: April 21, 2017
Sole Proprietor: Yes

Mailing Address

Po Box 2674

Corrales, NM 87048

Phone: 5052498714

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.