Haley Thelma Van Dien, BA

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

15188 Laverda LN
Moreno Valley, CA 92551-4099

Phone

(951) 505-9749

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1396311247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15188 LAVERDA LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925514099",
            "telephone_number": "951-505-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15188 LAVERDA LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925514099",
            "telephone_number": "951-505-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DIEN",
        "first_name": "HALEY",
        "middle_name": "THELMA",
        "name_prefix": "Miss",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.