Search › California › 103TM1800X

Kevin Van Laeken, BCBA, LEP

NPI 1104299734 · on the registry since 2015 · sole proprietor

Practice

Address
5201 Great America Parkway
Suite 320 #273
Santa Clara, CA 95054
Phone
(530) 227-2883
Organisation at this address
Cucumber Wellness, Inc.
El Roble Home Care, Llc
Agathos Laboratories, Inc.
Brian Licorish Psychiatry Llc
Mental Health Specialty Group Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
242

Registry record

Primary taxonomy
103TM1800X
103TM1800X
Also registered as
103K00000X
103TB0200X
103TS0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California