Dale Wade Van Der Heever

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB891237 Issued in FL

Practice address

7301A W Palmetto Park Rd Ste 100C
Boca Raton, FL 33433-3403

Phone

(954) 248-1171

NPI assigned

Mar 20, 2023

Last updated

Mar 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindful Sprouts LLC

  dba Eunoia Care

  • Behavior Analyst
  • Boca Raton, FL
  • NPI 1326505751
  NPD
• Mindful Sprouts LLC

  • Speech-Language Pathologist
  • Boca Raton, FL
  • NPI 1538933171
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1205538931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301A W PALMETTO PARK RD STE 100C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333403",
            "telephone_number": "954-248-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301A W PALMETTO PARK RD STE 100C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333403",
            "telephone_number": "954-248-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER HEEVER",
        "first_name": "DALE",
        "middle_name": "WADE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BACB891237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giselle Valladares, ARNP
• Joanna Valladares
• Janel Valle
• Charles Vallejo, DO
• Krista Lynn Valz, PSYD
• Ralph Victor Van Der Linde, PT
• Van Eye Optometry
• Van Pelt & Associates Physical Therapy Services PA
• Susan W Van Volkenburg, PT
• John Van

• Behavior Analyst in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.