Individual
KEVIN VAN LAEKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, LEP
Contact information
Practice address
5201 GREAT AMERICA PARKWAY, SUITE 320 #273, SANTA CLARA, CA 95054
(530) 227-2883
Mailing address
5201 GREAT AMERICA PARKWAY, SUITE 320 #273, SANTA CLARA, CA 95054
(530) 227-2883
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
3635
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
3635
CA
103TS0200X
School Psychologist
LEP3635
CA
Other
Enumeration date
11/04/2015
Last updated
06/22/2024
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