Simon Hernandez
Behavior Technician in Goleta, CA. Individual provider (NPI-1).
NPI number1104769140
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1104769140
- Entity type
- Individual (NPI-1)
- Name
- Simon Hernandez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2026
- Certification date
- Apr 13, 2026
- Last updated
- Apr 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5385 Hollister Ave Bldg 2/3Goleta, CA 93111-2389
Phone 805-683-8060 · Fax 805-683-8061
Mailing address
5385 Hollister Ave Bldg 2/3Goleta, CA 93111-2389
Phone 805-683-8060 · Fax 805-683-8061
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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