Erika Louann Kostishak

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-43455 Issued in NJ

Practice address

923 Haddonfield Rd
Cherry Hill, NJ 08002-2752

Phone

(603) 417-5470

NPI assigned

Feb 8, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1447759014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 GLEN ECHO AVE",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851241",
            "telephone_number": "609-502-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 HADDONFIELD RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022752",
            "telephone_number": "603-417-5470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Eves Dr",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080533100",
            "country_code": "US",
            "telephone_number": "800-679-3609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTISHAK",
        "first_name": "ERIKA",
        "middle_name": "LOUANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-20-43455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol L Kornmehl, M.D.
• Melinda Korte, MT-BC
• Todd Koser, PSY.D.
• Jill D. Koshak-Johnson, PT
• Jeffrey Harris Kossow, M.D.
• Angelika Kot
• Sharon Toomey Kotch, PSY.D.
• Anil G Kothari, MD
• Nikhita Kothari, DO
• Raksha A Kothari, M.D.

• Behavior Analyst in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.