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BEHAVIORANALYSTSUPERVISOR
NPI 1790157154
Behavior Analyst in Mount Shasta, CA

Active since October 26, 2015
809 MCCLOUD AVE, MOUNT SHASTA, CA 96067(530) 227-2883 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Behavioranalystsupervisor NPPES

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

BEHAVIORANALYSTSUPERVISOR (NPI 1790157154) is a healthcare organization registered as a behavior analyst in Mount Shasta, California and active in the NPI registry since October 2015. The organization lists Kevin M Van Laeken, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1790157154
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameBEHAVIORANALYSTSUPERVISOR
Location Address809 MCCLOUD AVEMount Shasta, CA 96067-9603
Mailing Address809 Mccloud AveMount Shasta, CA 96067-9603 · (530) 227-2883
Phone(530) 227-2883
Organization SubpartNo
Authorized OfficialKevin M Van LaekenOwner/operator · (530) 227-2883
Enumeration DateOctober 26, 2015
✔ NPI 1790157154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in CA · 1-13-12972
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License LEP3635 (CA)
809 MCCLOUD AVE, Mount Shasta, CA 96067
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY SUMMER CAMBOU BCBA
Behavior Analyst
809 MCCLOUD AVE
MOUNT SHASTA, CA 96067
Siskiyou County (530) 227-1002

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 Behavioranalystsupervisor's NPI number?

The NPI number for Behavioranalystsupervisor is 1790157154. It was assigned to this organization in the NPPES registry on October 26, 2015.

Where is Behavioranalystsupervisor located?

Behavioranalystsupervisor is located at 809 Mccloud Ave, Mount Shasta, CA 96067. The listed phone number is (530) 227-2883.

What is Behavioranalystsupervisor's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Behavioranalystsupervisor was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.