Active NPI
Kelley Baker, BCBA
- Behavior Analyst
- Alpharetta, GA
National Provider Identifier
1346622131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-118-138
- Practice address
- 6505 Shiloh Rd
Suite 100
Alpharetta, GA 30005-8405 - Phone
- (678) 648-7644
- NPI assigned
- Jun 29, 2015
- Last updated
- Jun 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-118-138 | GA | Primary |
Addresses
Primary practice location
6505 Shiloh Rd
Suite 100
Alpharetta, GA 30005-8405
Mailing address
6505 Shiloh Rd
Suite 100
Alpharetta, GA 30005-8405
Phone (678) 648-7644
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-118-138 | GA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1346622131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6505 SHILOH RD",
"address_2": "SUITE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300058405",
"telephone_number": "678-648-7644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6505 SHILOH RD",
"address_2": "SUITE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300058405",
"telephone_number": "678-648-7644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "KELLEY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-29",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-118-138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.