Organization Active NPI

Van Kober Bcba, LLC

  • Community/Behavioral Health Agency
  • Santa Clara, CA
National Provider Identifier
1336550029
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-09-6464 Issued in CA
Legal business name
VAN KOBER BCBA, LLC
Practice address
3776 Pinewood PL
Santa Clara, CA 95054-2152
Phone
(408) 980-9102
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Mrs. Van Anna Kober, BCBANPI 1023318482
Title
Behavior Analyst
Phone
(408) 980-9102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-09-6464 CA Primary

Addresses

Primary practice location

3776 Pinewood PL
Santa Clara, CA 95054-2152

Mailing address

1025 Alameda de Las Pulgas # 340
Belmont, CA 94002-3507
Phone (408) 221-9350

National Provider Directory

National Provider Directory

Locations

1025 Alameda de las Pulgas
Belmont, CA 94002
Phone (408) 221-9350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1336550029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 ALAMEDA DE LAS PULGAS # 340",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023507",
            "telephone_number": "408-221-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3776 PINEWOOD PL",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542152",
            "telephone_number": "408-980-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN KOBER BCBA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "KOBER",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "408-980-9102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1-09-6464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.