Van Laeken, Kevin
Van Laeken, Kevin is an sole proprietor health care provider with primary practice located at 5201 Great America Parkway Suite 320 #273, Santa Clara CA 95054. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities is his primary health care specialty. Van Laeken, Kevin can be contacted via phone (530) 227-2883.Contact Information
Primary practice address
5201 Great America Parkway Suite 320 #273
Santa Clara CA 95054
Phone: (530) 227-2883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 3635 | California |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 3635 | California |
| Behavioral Health & Social Service Providers / School | 103TS0200X | LEP3635 | California |
Profile Details
| NPI number | 1104299734 |
|---|---|
| LBN Legal business name | Van Laeken, Kevin |
| Credentials | BCBA, LEP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2015 |
| Last updated | Jun 22nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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