Carmin Baeza

Individual provider Active NPI Behavior Technician · Dodge City, KS

NPI 1083490908 · NPPES record last updated Sep 6, 2023

Key facts

NPI
1083490908
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2603 Central Ave
Dodge City, KS 67801-6210
Phone
(620) 789-0111
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2603 Central Ave
Dodge City, KS 67801-6210

Mailing address

2603 Central Ave
Dodge City, KS 67801-6210
Phone (620) 789-0111

Other providers in Dodge City, KS

All providers in Dodge City, KS · Behavior Technician in Kansas

Sources for this page

Verify at the official NPI Registry.