Shalan Kathleen Baker, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-32968

Practice address

3449 W State Road 16
Royal Center, IN 46978-9052

Phone

(574) 727-1026

NPI assigned

May 12, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Pair Tree Autism Services LLC

  • Behavior Analyst
  • Royal Center, IN
  • NPI 1104507383
  NPD Authorized official
• Blue ABA Indiana LLC

  • Community/Behavioral Health Agency
  • Indianapolis, IN
  • NPI 1346972882

  Behavior Analyst

  NPD (past)
• Four County Comprehensive Mental Health Center, Inc

  • Psychiatric Hospital
  • Peru, IN
  • NPI 1457539751
  NPD (past)

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1871760660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 W STATE ROAD 16",
            "city": "ROYAL CENTER",
            "state": "IN",
            "postal_code": "469789052",
            "telephone_number": "574-727-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 W STATE ROAD 16",
            "city": "ROYAL CENTER",
            "state": "IN",
            "postal_code": "469789052",
            "telephone_number": "574-727-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SHALAN",
        "middle_name": "KATHLEEN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-32968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliza Colon
• Kimberly Gates
• Maria D Grace
• Pair Tree Autism Services LLC
• Pioneer Regional School Corporation

• All providers in Royal Center, IN
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.