Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB ALEXANDER VAN DYKE, MA, BCBA, LBA
ActiveJACOB ALEXANDER VAN DYKE, MA, BCBA, LBA is a Behavior Analyst healthcare provider located in LOUISVILLE, Kentucky. NPI 1477191401 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · LOUISVILLE, KY
Registration Details
- NPI Number
- 1477191401
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2019 (6.617263680192 yrs)
- Last Updated
- Jun 8, 2022
- Licenses
-
RBT-19-102036278031 (KY)
Practice Information
- Address
-
175 MARKET PLACE DR STE ALOUISVILLE, KY, 402294471Browse KY providers · Browse ZIP 40229
- Phone
- 5022517002
- Fax
- 3175208200
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| KATHERINE TOSSMANN | — | 1013091701 |
| MELISSA A DIAZ | MA, BCBA, LBA | 1720281595 |
| MRS. LORI PHAN | M.A., B.C.B.A., LBA | 1568668077 |
| SAMANTHA BAKER | BCBA | 1639363773 |
| DR. ROBERT JOHN WALLANDER JR. | BCBA-D | 1053595264 |
| MRS. BARBARA FOREMAN | MA, BCBA | 1326225897 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.