Active NPI
Van Kober, BCBA
- Behavior Analyst
- Campbell, CA
National Provider Identifier
1023318482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1096464
- Practice address
- 100 W Rincon Ave Ste 211
Campbell, CA 95008-2898 - Phone
- (408) 980-9102
- Fax
- (408) 980-9102
- NPI assigned
- Nov 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1096464 | CA | Primary |
Addresses
Primary practice location
100 W Rincon Ave Ste 211
Campbell, CA 95008-2898
Mailing address
2328 Wooster Ave
Belmont, CA 94002-1550
Phone (408) 221-9350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1096464 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1023318482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2328 WOOSTER AVE",
"city": "BELMONT",
"state": "CA",
"postal_code": "940021550",
"telephone_number": "408-221-9350",
"fax_number": "408-980-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W RINCON AVE STE 211",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082898",
"telephone_number": "408-980-9102",
"fax_number": "408-980-9102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBER",
"first_name": "VAN",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-01",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1096464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.