Active NPI
Autismevals.Com
- Intellectual & Developmental Disabilities Psychologist
- Sacramento, CA
National Provider Identifier
1144924432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- Legal business name
- AUTISMEVALS.COM
- Practice address
- 3400 Cottage Way
Ste G2 #21123
Sacramento, CA 95825 - Phone
- (530) 227-2883
- NPI assigned
- Mar 29, 2023
- Organization subpart
- Yes
- Parent organization
- BEHAVIOR ANALYST SUPERVISOR, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Van Laeken, M.S., BCBA, LEP
- Title
- Owner
- Phone
- (530) 227-2883
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | Primary |
Addresses
Primary practice location
3400 Cottage Way
Ste G2 #21123
Sacramento, CA 95825
Mailing address
5201 Great America Parkway
Suite 320 #273
Santa Clara, CA 95054
Phone (530) 227-2883
Other names 1
- AutismEvals.com
National Provider Directory
National Provider Directory- Part of
- Autismevalscom
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Intellectual & Developmental Disabilities Psychologist
- Santa Clara, CA
- NPI 1104299734
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719014400000",
"number": "1144924432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 GREAT AMERICA PARKWAY",
"address_2": "SUITE 320 #273",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95054",
"telephone_number": "530-227-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 COTTAGE WAY",
"address_2": "STE G2 #21123",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95825",
"telephone_number": "530-227-2883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTISMEVALS.COM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BEHAVIOR ANALYST SUPERVISOR, INC.",
"enumeration_date": "2023-03-29",
"last_updated": "2024-06-22",
"certification_date": "2024-06-22",
"status": "A",
"authorized_official_last_name": "VAN LAEKEN",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "530-227-2883",
"authorized_official_credential": "M.S., BCBA, LEP"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AutismEvals.com",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.