Individual Healthcare Provider
Kevin Van Laeken, BCBA, LEP
Provider's NPPES record last updated: June 22, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1104299734
- Primary Specialty
- Psychologist — Intellectual & Developmental Disabilities
- Practice Location
- Santa Clara, California
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:48 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychologist
Intellectual & Developmental Disabilities
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 103TM1800X Behavior Analyst
Behavioral Health & Social Service Providers
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Taxonomy code 103K00000XPsychologist
Cognitive & Behavioral
Behavioral Health & Social Service Providers
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Taxonomy code 103TB0200XPsychologist
School
Behavioral Health & Social Service Providers
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
Taxonomy code 103TS0200X
Provider-Reported License Information
- Psychologist (California)
- 3635
- Psychologist (California)
- 3635
- Psychologist (California)
- LEP3635
Practice Locations
Practice Location
5201 Great America Parkway
Suite 320 #273
Santa Clara, California 95054
Phone: (530) 227-2883
Record Information
- Enumeration Date
- November 4, 2015
- Provider's NPPES Record Last Updated
- June 22, 2024
- Certification Date
- June 22, 2024
- NPISignal NPPES Dataset
- August 2026
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