Tiffany Baker

Individual provider Active NPI Behavior Technician · Caldwell, TX

NPI 1487420931 · NPPES record last updated Nov 27, 2023

Key facts

NPI
1487420931
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
947678 (TX)
Practice address
995 Doe Run
Caldwell, TX 77836-8062
Phone
(737) 226-9052
NPI assigned
Nov 27, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
947678TXMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 947678 TX Yes

Addresses

Primary practice location

995 Doe Run
Caldwell, TX 77836-8062

Mailing address

995 Doe Run
Caldwell, TX 77836-8062

Other providers in Caldwell, TX

All providers in Caldwell, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.