SHANETTA VAN
NPI 1558849901
Behavior Technician in Oakland, CA

Active since July 29, 2018
638 21ST ST, OAKLAND, CA 94612(000) 000-0000 Get Directions Write a Review

NPPES record last updated: July 29, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Shanetta Van NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANETTA VAN (NPI 1558849901) is an individual behavior technician in Oakland, California and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1558849901
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSHANETTA VAN
Location Address638 21ST STOakland, CA 94612-1793
Mailing Address6400 Tupelo DrCitrus Heights, CA 95621-1741 · (916) 729-3098
Sole ProprietorNo
Enumeration DateJuly 29, 2018
NPI 1558849901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
638 21ST ST, Oakland, CA 94612

Other Identifiers 1

Medicaid00000CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanetta Van's NPI number?

The NPI number for Shanetta Van is 1558849901. It was assigned to this individual provider in the NPPES registry on July 29, 2018.

Where is Shanetta Van located?

Shanetta Van practices at 638 21st St, Oakland, CA 94612. The listed phone number is (000) 000-0000.

What is Shanetta Van's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Shanetta Van was last updated on July 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.