Nicole Isabel Baca
Individual provider Active NPI Behavior Technician · Hesperia, CA
NPI 1669395232 · NPPES record last updated Aug 4, 2026
Key facts
- NPI
- 1669395232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 14608 Main St Ste B
Hesperia, CA 92345-3381 - Phone
- (442) 356-0884
- NPI assigned
- Jul 31, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simple ABA LLC. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
14608 Main St Ste B
Hesperia, CA 92345-3381
Mailing address
14608 Main St Ste B
Hesperia, CA 92345-3381
Phone (442) 414-9183
Other providers in Hesperia, CA
- Katherine Madai Ayala Rodriguez
- Alondra Marie Ayala
- Noel Ayala
- Shahzad Mohammed Azad
- B C Kim DDS Inc
- Teresa L Baddeley
- Nahiris Maria Bahamon
- Alexander Bahn
- Clarence Francine Bailey
- Benita Bala
All providers in Hesperia, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.