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

Mickenna Van Gaalen

Individual provider Behavior Technician · NPI 1134839541

Mickenna Van Gaalen is a Behavior Technician in Modesto, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1115 14th St
Modesto, CA 95354-1003
Phone: (209) 572-2589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1134839541
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 28, 2022
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022
Mailing addressPo Box 5157, Modesto, CA 95352-5157

Other providers in Modesto