Kathryn Marie Baker
Individual provider Active NPI Behavior Analyst · Edgewater, FL
NPI 1316398159 · NPPES record last updated Jun 22, 2016
Key facts
- NPI
- 1316398159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1425 Pine Tree Dr
Edgewater, FL 32132-2505 - Phone
- (386) 576-3968
- NPI assigned
- Jun 22, 2016
- 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 Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1425 Pine Tree Dr
Edgewater, FL 32132-2505
Mailing address
1425 Pine Tree Dr
Edgewater, FL 32132-2505
Phone (386) 576-3968
Other providers in Edgewater, FL
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- Lakhdar Bahous
- Taylar N Baker
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All providers in Edgewater, FL · Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2016. 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.