Lauren Baak

Individual provider Active NPI Behavior Analyst · Omaha, NE

NPI 1659913754 · NPPES record last updated Jul 19, 2023

Key facts

NPI
1659913754
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
3924 N 138TH St
Omaha, NE 68164-5009
Phone
(888) 517-8377
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

3924 N 138TH St
Omaha, NE 68164-5009

Mailing address

5512 N 128TH St
Omaha, NE 68164-1631
Phone (480) 204-3746

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 19, 2023.

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1659913754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 N 128TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681641631",
            "telephone_number": "480-204-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 N 138TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645009",
            "telephone_number": "888-517-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAAK",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

All providers in Omaha, NE · Behavior Analyst in Nebraska

Sources for this page

Verify at the official NPI Registry.