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Kennedy Ann Baca

Behavior Analyst β€’ San Diego, CA

Active NPI 1477280097 Individual Practitioner Female Practitioner
Practice location in NPPES

2820 Camino Del Rio S Ste 100
San Diego, CA 921083822

Call 8582645858 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2820 Camino Del Rio S Ste 100

San Diego, CA 921083822

Telephone 8582645858
Organization at the Same NPPES Address or Phone
Abs Psychology Services California Facility NPI 1336659002

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in San Diego and California

1,158 active clinicians are listed under Behavior Analyst with a practice address in San Diego, CA (20,363 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in San Diego

0% of these 1,158 clinicians have the CMS telehealth indicator.

0% of these 1,158 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-23
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES CA 1-25-85057

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location October 23, 2025

Registered at 2820 CAMINO DEL RIO S STE 100, SAN DIEGO, CA 921083822 (Tel: 8582645858)

πŸ“
Updated Business Mailing Address October 23, 2025

Registered at 6766 TANGLEWOOD RD, SAN DIEGO, CA 921114119 (Tel: 6263900126)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2025

Behavior Analyst (license number reported to NPPES: CA 1-25-85057)

βœ…
NPI Profile Active August 03, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 03, 2022

Registered at 41 STRATHMORE RD APT 1, BRIGHTON, MA 021357935 (Tel: 6263900126)

πŸ“
Business Mailing Address (Initial Record) August 03, 2022

Registered at 41 STRATHMORE RD APT 1, BRIGHTON, MA 021357935 (Tel: 6263900126)

πŸ‘€
Provider Name / Credentials (Initial Record) August 03, 2022

Recorded as KENNEDY BACA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2022

Behavior Technician

🟒
Initial NPI Registration & Enumeration August 03, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477280097
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2022
Last Update: October 23, 2025
Sole Proprietor: No

Mailing Address

6766 Tanglewood Rd

San Diego, CA 921114119

Phone: 6263900126

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.