Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679030993 Individual Practitioner Female Practitioner

Kourtney Michelle Baker

Behavior Technician • Ponte Vedra Beach, FL

Professional Overview & Biography Verified Profile Summary

Kourtney Baker is a registered healthcare professional specializing in Behavior Technician in Ponte Vedra Beach, FL. Practice services are available at 5150 PALM VALLEY RD STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5150 Palm Valley Rd Ste 102

Ponte Vedra Beach, FL 320824630

Telephone 9047190836

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Ponte Vedra Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
35 Specialists

Practicing in Ponte Vedra Beach, FL (75895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-31
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License FL RBT-18-72277

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Molly Mesiano , MS

Counselor - Mental Health

NPI 1407553332

Master of Science

Jessica Soto , LMHC

Counselor - Mental Health

NPI 1467141853

Licensed Mental Health Counselor

Shawna Rohrer , RMHCI

Counselor - Mental Health

NPI 1639932783

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 31, 2023

Registered at 5150 PALM VALLEY RD STE 102, PONTE VEDRA BEACH, FL 320824630 (Tel: 9047190836)

📍
Updated Business Mailing Address October 31, 2023

Registered at 1936 SAN MARIE DR S, JACKSONVILLE, FL 322172351 (Tel: 9047190836)

👤
Provider Name / Credentials Updated October 31, 2023

Recorded as KOURTNEY BAKER

NPI Profile Active February 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2019

Registered at 13121 ATLANTIC BLVD STE 200, JACKSONVILLE, FL 322250102 (Tel: 9044912111)

📍
Updated Business Mailing Address February 22, 2019

Registered at 4090 HODGES BLVD APT 1009, JACKSONVILLE, FL 322244211

👤
Provider Name / Credentials Updated February 22, 2019

Recorded as KOURTNEY SELLERS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2019

Behavior Technician (License #RBT-18-72277 in FL)

🟢
Initial NPI Registration & Enumeration February 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679030993
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2019
Last Update: October 31, 2023
Sole Proprietor: No

Mailing Address

1936 San Marie Dr S

Jacksonville, FL 322172351

Phone: 9047190836

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.