Individual provider Active NPI

Jacob Anthony Harner, BCBA

  • Behavior Analyst
  • Frederick, MD
National Provider Identifier
1609446772
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-80417 Issued in MD
Practice address
706 W Patrick St
Frederick, MD 21701-4030
Phone
(301) 882-7932
NPI assigned
Jun 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-21-11705 MD
Behavior Analyst 103K00000X 1-25-80417 MD Primary

Addresses

Primary practice location

706 W Patrick St
Frederick, MD 21701-4030

Mailing address

706 W Patrick St
Frederick, MD 21701-4030
Phone (301) 882-7932

Other identifiers 1

IdentifierTypeStateIssuer
0-21-11705OtherMDBACB

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1609446772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014030",
            "telephone_number": "301-882-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014030",
            "telephone_number": "301-882-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNER",
        "first_name": "JACOB",
        "middle_name": "ANTHONY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "MD",
            "license": "0-21-11705",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "1-25-80417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "0-21-11705",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.