Individual provider Active NPI

Lacey Breann Hibdon, BI

  • Behavior Technician
  • Modesto, CA
National Provider Identifier
1144199845
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
121 E Orangeburg Ave Ste 16
Modesto, CA 95350-5340
Phone
(209) 585-3321
Fax
(209) 297-4607
NPI assigned
Oct 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA Primary

Addresses

Primary practice location

121 E Orangeburg Ave Ste 16
Modesto, CA 95350-5340

Mailing address

121 E Orangeburg Ave Ste 16
Modesto, CA 95350-5340
Phone (209) 585-3321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovating Behaviors Inc CurrentSince Nov 8, 2025 Accepting new patients
Innovating Behaviors LLC Behavior Technician CurrentSince Nov 8, 2025 Accepting new patients

Locations

121 E Orangeburg Ave
Ste 16
Modesto, CA 95350
Phone (209) 585-3321

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1144199845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E ORANGEBURG AVE STE 16",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505340",
            "telephone_number": "209-585-3321",
            "fax_number": "209-297-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E ORANGEBURG AVE STE 16",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505340",
            "telephone_number": "209-585-3321",
            "fax_number": "209-297-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBDON",
        "first_name": "LACEY",
        "middle_name": "BREANN",
        "credential": "BI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.