Behavioranalystsupervisor
NPI 1790157154ActiveOrganization· Behavior Analyst· Mount Shasta, CA
Behavior Analyst in Mount Shasta, California, registered in NPPES in October 2015. The authorized official on file is Kevin M. Van Laeken, BCBA, LEP, Owner/Operator.
Overview
| NPI | 1790157154 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2015 |
| Last updated in NPPES | Oct 26, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-13-12972 | CA |
| Psychologist, School | 103TS0200X | LEP3635 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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