Individual provider Active NPI

Rebecca Baker, BCBA

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1881185619
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-44794 Issued in FL
Practice address
5165 Adanson St
Orlando, FL 32804-1331
Phone
(407) 408-7402
Fax
(407) 627-0303
NPI assigned
May 29, 2018
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-44794 FL Primary

Addresses

Primary practice location

5165 Adanson St
Orlando, FL 32804-1331

Mailing address

5165 Adanson St
Orlando, FL 32804-1331
Phone (407) 408-7402

Other practice location 1

34042 Sunset Ave
Leesburg, FL 34788-4356
Phone (407) 683-1072

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Walker Behavior Analyst PastSince Dec 22, 2019 Accepting new patients
Oca Opportunity Community Ability Inc Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1881185619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5165 ADANSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041331",
            "telephone_number": "407-408-7402",
            "fax_number": "407-627-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 ADANSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041331",
            "telephone_number": "407-408-7402",
            "fax_number": "407-627-0303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34042 Sunset Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347884356",
            "country_code": "US",
            "telephone_number": "407-683-1072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "REBECCA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-44794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.