Mary Louise Baker
Individual provider Active NPI Behavior Technician · Midwest City, OK
NPI 1366219552 · NPPES record last updated Dec 27, 2023
Key facts
- NPI
- 1366219552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1717 S Air Depot Blvd
Midwest City, OK 73110-5103 - Phone
- (405) 622-4239
- NPI assigned
- Dec 7, 2023
- 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
1717 S Air Depot Blvd
Midwest City, OK 73110-5103
Mailing address
1717 S Air Depot Blvd
Midwest City, OK 73110-5103
Other providers in Midwest City, OK
- Bailey Brooks LLC
- Bertjuanette Jorice Bailey-Guthery
- Maurtyna Bailey-Lusby
- Katelyn Bailey
- Kimberly Ann Baker
- Tiffany A Baker
- Jacob Dylan Bakewell
- Balanced Care Chiropractic PLLC
- Balanced Care Pain Center PLLC
- Bob Baldwin
All providers in Midwest City, OK · Behavior Technician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2023. 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.