Individual provider Active NPI

Luke Patrick Baker

  • Behavior Analyst
  • Hales Corners, WI
National Provider Identifier
1104602663
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0-23-14719 Issued in WI
Practice address
6080 S 108TH St Ste 2
Hales Corners, WI 53130-2557
Phone
(224) 406-0559
NPI assigned
Aug 31, 2023
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-23-14719 WI Primary

Addresses

Primary practice location

6080 S 108TH St Ste 2
Hales Corners, WI 53130-2557

Mailing address

6080 S 108TH St Ste 2
Hales Corners, WI 53130-2557
Phone (224) 406-0559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Together ABA Behavior Analyst Current Accepting new patients
Autism Evaluation Center at the Place Past Accepting new patients
Djje Holdings LLC Behavior Analyst Past Accepting new patients
The Place for Speech Therapy LLC Past Accepting new patients

Locations

6080 S 108th St
Ste 2
Hales Corners, WI 53130
Phone (224) 406-0559

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1104602663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 S 108TH ST STE 2",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302557",
            "telephone_number": "224-406-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 S 108TH ST STE 2",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302557",
            "telephone_number": "224-406-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "LUKE",
        "middle_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-31",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "0-23-14719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hales Corners, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.