Jaclyn Renee Baker, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-72214 Issued in FL

Practice address

1300 N Palafox St Ste 103
Pensacola, FL 32501-2678

Phone

(850) 860-2903

Fax

(888) 751-4019

NPI assigned

Jan 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1376016709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 STEFANI RD",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325337795",
            "telephone_number": "850-607-6910",
            "fax_number": "850-607-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N PALAFOX ST STE 103",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012678",
            "telephone_number": "850-860-2903",
            "fax_number": "888-751-4019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Airport Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048622",
            "country_code": "US",
            "telephone_number": "850-281-1679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JACLYN",
        "middle_name": "RENEE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-72214",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William F Bailey Jr., MD
• Mariam Bajelidze, MD
• Bryce Baker
• Clorinda M Baker, ARNP
• Douglas Scott Baker, PAC
• Kenneth E Baker, MD
• Tamberlynn Baker, FNP
• Trevares L. Baker, CRNA
• William Allen Baker, CRNA
• Esraa Farghaly Ramadan Bakheet, MBBCH

• Behavior Analyst in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.