Baca, Tiffany

Baca, Tiffany is an sole proprietor health care provider with primary practice located at 180 Via Verde Ste 200 , San Dimas CA 91773-3993. She recently has 4 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Baca, Tiffany can be contacted via phone (909) 599-1227.

Contact Information

Primary practice address
180 Via Verde Ste 200 San Dimas CA 91773-3993
Phone: (909) 599-1227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 118825 California
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 118825 California

Profile Details

NPI number 1710440292
LBN Legal business name Baca, Tiffany
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2019
Last updated Apr 29th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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