Leeann Rose Vanbeenen

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

Y2148208 Issued in CA

Practice address

2489 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-7728

Phone

(530) 578-3839

NPI assigned

Jun 11, 2019

Last updated

May 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1447819685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 LAKE TAHOE BLVD STE 23",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507739",
            "telephone_number": "530-578-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 LAKE TAHOE BLVD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507728",
            "telephone_number": "530-578-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBEENEN",
        "first_name": "LEEANN",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "Y2148208",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "Y2148208",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "Y2148208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Peterson DO Inc (Peak Medical Tahoe)
• Haley Juliet Uriz
• Ksenia Ustinova, LCSW
• April France Vadnais
• Lucila Valencia-Salazar
• Deborah Ann Vance, MFCC
• Jeremy Scott Vandehurst, L-AT
• Nicole Marie Vandehurst, MA
• Michel George Vangordon, MA, LMFT
• Kimberly Angela Vankirk, LCSW

• Behavior Analyst in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.