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FETRIC SIMBOLON
NPI 1952717019
Behavior Analyst in Loma Linda, CA

Active since July 09, 2014
1714 DAVIDSON ST, LOMA LINDA, CA 92354(909) 630-8084 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fetric Simbolon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FETRIC SIMBOLON (NPI 1952717019) is an individual behavior analyst provider in Loma Linda, California, licensed in California (PT 34823) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1952717019
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameFETRIC SIMBOLON
Location Address1714 DAVIDSON STLoma Linda, CA 92354-1711
Mailing Address1714 Davidson StLoma Linda, CA 92354-1711 · (909) 630-8084
Phone(909) 630-8084
Sole ProprietorNo
Enumeration DateJuly 9, 2014
✔ NPI 1952717019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in CA · PT 34823
Definition
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.
1714 DAVIDSON ST, Loma Linda, CA 92354
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fetric Simbolon's NPI number?

The NPI number for Fetric Simbolon is 1952717019. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Where is Fetric Simbolon located?

Fetric Simbolon practices at 1714 Davidson St, Loma Linda, CA 92354. The listed phone number is (909) 630-8084.

What is Fetric Simbolon's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Fetric Simbolon was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.