Individual provider Active NPI

Angela L Noble-Simental

  • Behavior Technician
  • Apple Valley, CA
National Provider Identifier
1285277632
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
F2676278 Issued in CA
Practice address
19195 US Highway 18 Ste 104
Apple Valley, CA 92307-2562
Phone
(888) 557-1305
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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 F2676278 CA Primary

Addresses

Primary practice location

19195 US Highway 18 Ste 104
Apple Valley, CA 92307-2562

Mailing address

19195 US Highway 18 Ste 104
Apple Valley, CA 92307-2562
Phone (888) 557-1305

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

State licenses

LicenseStateTypeSpecialty
F2676278CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1285277632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19195 US HIGHWAY 18 STE 104",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072562",
            "telephone_number": "888-557-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19195 US HIGHWAY 18 STE 104",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072562",
            "telephone_number": "888-557-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE-SIMENTAL",
        "first_name": "ANGELA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "F2676278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.