Nicolette Adayan

Individual provider Active NPI Behavior Technician · Rancho Cucamonga, CA

NPI 1801748165 · NPPES record last updated Feb 10, 2026

Key facts

NPI
1801748165
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
9065 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-5429
Phone
(951) 357-6926
NPI assigned
Feb 10, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

9065 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-5429

Mailing address

100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602
Phone (949) 357-2556

Other providers in Rancho Cucamonga, CA

All providers in Rancho Cucamonga, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.