Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Alexander Van Dyke, MA, BCBA, LBA

Individual provider Behavior Technician · NPI 1477191401

Jacob Alexander Van Dyke, MA, BCBA, LBA is a Behavior Technician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2019.

Licensed in
KY
In the registry since
2019
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

175 Market Place Dr Ste A
Louisville, KY 40229-4471
Phone: (502) 251-7002
Fax: (317) 520-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 278031 (KY)
Behavior Technician Taxonomy 106S00000X · Licence RBT-19-102036

Record details

NPI number1477191401
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , BCBA , LBA
Sole proprietorNo
NPI enumeratedDecember 20, 2019
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

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