Brenda Jeanne Baker, MA, BCBA, LMT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-09-5040 Issued in FL

Practice address

804 Mohawk Pkwy Apt 104
Cape Coral, FL 33914-5750

Phone

(239) 784-3741

Fax

(239) 236-1718

NPI assigned

Apr 2, 2010

Last updated

Apr 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alembia, Inc.

  dba Alembia Therapies, SPAlembia, Mandy's THE Place for Kids

  • Behavior Analyst
  • Fort Myers, FL
  • NPI 1992132484
  Authorized official Same address or phone

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1730404633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 MOHAWK PKWY APT 104",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145750",
            "telephone_number": "239-784-3741",
            "fax_number": "239-236-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 MOHAWK PKWY APT 104",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145750",
            "telephone_number": "239-784-3741",
            "fax_number": "239-236-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BRENDA",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "MA, BCBA, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-09-5040",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 57488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rey Christian Imperial Badilla, PT
• Victoria Badillo
• Julio Cesar Baez
• Yvonne Bailey, ADMINISTRATOR
• Alison Marie Baker, M.D.
• George Baker, P.A.
• Gray Baker, PT, DPT
• Keith A Baker, D.O.
• Thomas Dale Baker, PH.D.
• Trista Baker, RCSWI

• Behavior Analyst in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.