Active NPI
Deante Baker
- Behavior Technician
- Troy, MI
National Provider Identifier
1477239309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1175 W Long Lake
Unit 101
Troy, MI 48098 - Phone
- (248) 840-8234
- NPI assigned
- Jun 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | MI | ||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1175 W Long Lake
Unit 101
Troy, MI 48098
Mailing address
27000 Franklin
Apt 506
Southfield, MI 48034
Phone (313) 574-7107
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caliber Autism Care LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1477239309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27000 FRANKLIN",
"address_2": "APT 506",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48034",
"telephone_number": "313-574-7107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 W LONG LAKE",
"address_2": "UNIT 101",
"city": "TROY",
"state": "MI",
"postal_code": "48098",
"telephone_number": "248-840-8234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "DEANTE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-26",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.