Shemekia Baker

Individual provider Active NPI Behavior Technician · Lithonia, GA

NPI 1104496322 · NPPES record last updated Jun 29, 2021

Key facts

NPI
1104496322
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5461 Hillandale Dr Ste 100
Lithonia, GA 30058-4842
Phone
(470) 361-2976
NPI assigned
Jun 29, 2021
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

5461 Hillandale Dr Ste 100
Lithonia, GA 30058-4842

Mailing address

5461 Hillandale Dr Ste 100
Lithonia, GA 30058-4842
Phone (470) 361-2976

Other providers in Lithonia, GA

All providers in Lithonia, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.