Active NPI
Alex Graham Baker Jr.
- Behavior Technician
- Lakeland, FL
National Provider Identifier
1497347264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 304 E Pine St # 1252
Lakeland, FL 33801-4969 - Phone
- (813) 602-0068
- NPI assigned
- Feb 3, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary | ||
| Family Psychologist | 103TF0000X |
Addresses
Primary practice location
304 E Pine St # 1252
Lakeland, FL 33801-4969
Mailing address
2424 W Brandon Blvd # 1268
Brandon, FL 33511-4717
Phone (813) 602-0068
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1497347264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 W BRANDON BLVD # 1268",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114717",
"telephone_number": "813-602-0068",
"fax_number": "813-354-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 E PINE ST # 1252",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338014969",
"telephone_number": "813-602-0068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "ALEX",
"middle_name": "GRAHAM",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-03",
"last_updated": "2024-02-12",
"certification_date": "2024-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.