Kyrah Baker

Individual provider Active NPI Behavior Technician · Baton Rouge, LA

NPI 1184532004 · NPPES record last updated Aug 31, 2026

Key facts

NPI
1184532004
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
11607 Southfork Ave BLDG B
Baton Rouge, LA 70816-5220
Phone
(877) 418-2978
Fax
(866) 500-2186
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
No

Medicare participation

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X LA Yes

Addresses

Primary practice location

11607 Southfork Ave BLDG B
Baton Rouge, LA 70816-5220

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone (877) 418-2978

Other providers in Baton Rouge, LA

All providers in Baton Rouge, LA · Behavior Technician in Louisiana

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.