Provider Demographics
NPI:1598091449
Name:BIERKAN, LAURA (BCBA)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:BIERKAN
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:BANKER
Other - Last Name:BIERKAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCBA
Mailing Address - Street 1:3500 DEPAUW BLVD STE 3070
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-6135
Mailing Address - Country:US
Mailing Address - Phone:855-324-0885
Mailing Address - Fax:317-520-8200
Practice Address - Street 1:1001 FORD CIR STE A
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2740
Practice Address - Country:US
Practice Address - Phone:513-831-2578
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOBA.179103K00000X
OH1-05-2568103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst