Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Van der Haegen, BS

Individual provider Behavior Technician · NPI 1962002170

Jessica Van der Haegen, BS is a Behavior Technician in Roseville, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

628 Royer St
Roseville, CA 95678-3249
Phone: (530) 391-8670
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 — (916) 995-5518

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence 8440 (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1962002170
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorNo
NPI enumeratedOctober 27, 2020
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

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