Hannah Lee Baker

Individual provider Active NPI Behavior Technician · Beaverton, MI

NPI 1124855036 · NPPES record last updated Sep 16, 2024

Key facts

NPI
1124855036
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1234 W Cedar Ave
Beaverton, MI 48612
Phone
(989) 709-5413
NPI assigned
Sep 16, 2024
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

1234 W Cedar Ave
Beaverton, MI 48612

Mailing address

2521 N Elms Rd
Flushing, MI 48433-9423
Phone (866) 498-3909

Other providers in Beaverton, MI

All providers in Beaverton, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.