Kimberly Baker

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-21719 Issued in CO

Practice address

56 Cardinal CT
Medford, NJ 08055-8317

Phone

(405) 323-4503

NPI assigned

Mar 27, 2020

Last updated

Mar 27, 2020By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1932737871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CARDINAL CT",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558317",
            "telephone_number": "405-323-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CARDINAL CT",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558317",
            "telephone_number": "405-323-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-16-21719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://msbaker.setmore.com",
            "affiliation": "N",
            "endpointDescription": "Private booking and messaging site",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Booking",
            "address_1": "56 Cardinal Ct",
            "city": "Medford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080558317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rene J Audet
• Vern C Austin, DMD
• Scott Edward Auty, P.A.-C.
• Dylan Bailey, PT
• Laura Bailliard, BCBA
• Kimberly D Baker, MPT
• Silen Balin
• Bancroft a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation

• Behavior Analyst in Medford, NJ
• Providers in Medford, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.