Behavioranalystsupervisor
Behavior Analyst · Mount Shasta, CA
Practice location
809 McCloud AveMount Shasta, CA 96067-9603
- Phone
- (530) 227-2883
NPI record
- NPI
- 1790157154
- Entity type
- Organization (Type 2)
- Enumeration date
- October 26, 2015
- Last updated
- October 26, 2015
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
1-13-12972 | CA |
| School Psychologist | 103TS0200X |
LEP3635 | CA |
Authorized official
- Name
- Mr. Kevin M Van Laeken, BCBA, LEP
- Title
- Owner/Operator
- Phone
- (530) 227-2883
About Behavioranalystsupervisor
Behavioranalystsupervisor is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 809 McCloud Ave, Mount Shasta, CA 96067-9603. The NPI number 1790157154 was assigned on October 26, 2015 and the record was last updated on October 26, 2015.
Behavioranalystsupervisor lists 2 licenses in the registry: #1-13-12972 (CA) for Behavior Analyst; #LEP3635 (CA) for School Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Mr. Kevin M Van Laeken, BCBA, LEP, Owner/Operator.
Frequently asked questions
What is the NPI number of Behavioranalystsupervisor?
The NPI number is 1790157154.
What is the phone number of Behavioranalystsupervisor?
The phone number listed for the practice location is (530) 227-2883.
Where is Behavioranalystsupervisor located?
809 McCloud Ave, Mount Shasta, CA 96067-9603.
What is the taxonomy code for Behavioranalystsupervisor?
The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Behavior Analyst providers in Mount Shasta
- Amy Summer Cambou, BCBA809 McCloud Ave