Behavioranalystsupervisor
NPI 1790157154 · Behavior Analyst · Mount Shasta, CA
Behavioranalystsupervisor is a Behavior Analyst organization in Mount Shasta, CA (NPI 1790157154).
Provider details
- NPI number
- 1790157154
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kevin Van Laeken, Owner/Operator(530) 227-2883
- License
- LEP3635 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-10-26
- Last updated
- 2015-10-26
Frequently asked questions
- What is Behavioranalystsupervisor's NPI number?
- Behavioranalystsupervisor's National Provider Identifier (NPI) is 1790157154, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Behavioranalystsupervisor?
- Behavioranalystsupervisor is classified in the NPPES registry as Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Behavioranalystsupervisor located?
- Behavioranalystsupervisor's practice location on file with NPPES is 809 Mccloud Ave, Mount Shasta, CA 96067-9603.
- What is Behavioranalystsupervisor's phone number?
- The practice phone number listed in the NPPES registry for Behavioranalystsupervisor is (530) 227-2883.
- Who is the authorized official for Behavioranalystsupervisor?
- The authorized official listed on Behavioranalystsupervisor's NPPES record is Kevin Van Laeken, Owner/Operator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Behavioranalystsupervisor's NPI active?
- Yes — Behavioranalystsupervisor's NPI (1790157154) is active in the NPPES registry as of the last update on 2015-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.