Individual provider · Type 1 NPI
Kevin Van Laeken, BCBA, LEP
Intellectual & Developmental Disabilities Psychologist · Santa Clara, CA
NPI number
1104299734
Active
Practice location
5201 Great America Parkway, Suite 320 #273
Santa Clara, CA 95054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 3635 (CA) |
| Behavior Analyst | 103K00000X | None listed |
| Cognitive & Behavioral Psychologist | 103TB0200X | 3635 (CA) |
| School Psychologist | 103TS0200X | LEP3635 (CA) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
Another provider at this address
About NPI 1104299734
Kevin Van Laeken, BCBA, LEP's National Provider Identifier is 1104299734, issued on Nov 4, 2015. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Santa Clara, CA. The record was last updated on Jun 22, 2024.