IndividualActive
Kennedy Baca
NPI 1477280097 · Behavior Analyst · San Diego, CA
Kennedy Baca is a Behavior Analyst provider in San Diego, CA (NPI 1477280097).
Provider details
- NPI number
- 1477280097
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1-25-85057 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2820 Camino Del Rio S Ste 100
San Diego, CA 92108-3822
Phone: (858) 264-5858
Street-level locationGet directions
Mailing address
6766 Tanglewood Rd
San Diego, CA 92111-4119
Registry dates
- Enumerated
- 2022-08-03
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Frequently asked questions
- What is Kennedy Baca's NPI number?
- Kennedy Baca's National Provider Identifier (NPI) is 1477280097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kennedy Baca's specialty?
- Kennedy Baca is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Kennedy Baca located?
- Kennedy Baca's practice location on file with NPPES is 2820 Camino Del Rio S Ste 100, San Diego, CA 92108-3822.
- What is Kennedy Baca's phone number?
- The practice phone number listed in the NPPES registry for Kennedy Baca is (858) 264-5858.
- Is Kennedy Baca's NPI active?
- Yes — Kennedy Baca's NPI (1477280097) is active in the NPPES registry as of the last update on 2025-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.