Behavioranalystsupervisor
Behavioranalystsupervisor provides Behavior Analyst services in Mount Shasta, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
809 McCloud AveMount Shasta, CA 96067-9603 Not confirmed with CMS for 11 years — call before visiting
Phone: (530) 227-2883
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 1-13-12972 (CA) |
|---|---|
| School Psychologist | Taxonomy 103TS0200X · Licence LEP3635 (CA) |
Record details
| NPI number | 1790157154 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Van Laeken — Owner/Operator · (530) 227-2883 |
| NPI enumerated | October 26, 2015 |
| Last updated in NPPES | October 26, 2015 |
| Mailing address | 809 McCloud Ave, Mount Shasta, CA 96067-9603 |
Other providers in Mount Shasta
-
Amy Summer Cambou, BCBA
809 McCloud Ave, Mount Shasta, CA 96067-9603 · (530) 227-1002
-
Donna Edings
1107 Ream Ave, Mount Shasta, CA 96067-9768 · (415) 425-9034