Desiree Baenen
Individual provider Active NPI Behavior Technician · Queen Creek, AZ
NPI 1184575508 · NPPES record last updated Aug 19, 2026
Key facts
- NPI
- 1184575508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 21805 S Ellsworth Rd Ste 100
Queen Creek, AZ 85142-9365 - Phone
- (855) 223-7123
- Fax
- (619) 374-7134
- NPI assigned
- Feb 4, 2026
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
21805 S Ellsworth Rd Ste 100
Queen Creek, AZ 85142-9365
Mailing address
PO Box 740780
Atlanta, GA 30374-0780
Phone (855) 223-7123
Other practice location 1
12409 W Indian School Rd Ste B210
Avondale, AZ 85392-9505
Phone (855) 223-7123
Other providers in Queen Creek, AZ
- Jessica Avery
- Erica Tamika Ayala
- Sade Omotunde Ayodele
- Chatur J Babaria
- Anna Marie Bachmeier
- Kelly Marie Bailey
- Robert Baird
- Mary A Bak
- Brett Baker
- Mark E Balch
All providers in Queen Creek, AZ · Behavior Technician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.