Jesse Cathrine Baker

Individual provider Active NPI Behavior Technician · Liberty, MO

NPI 1508484353 · NPPES record last updated May 17, 2022

Key facts

NPI
1508484353
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
523 N 291 Hwy
Liberty, MO 64068-1045
Phone
(816) 384-0099
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Center for Autism and Child Development, Inc. Past
since Jul 12, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

523 N 291 Hwy
Liberty, MO 64068-1045

Mailing address

5863 NW 72ND St
Kansas City, MO 64151-1483
Phone (816) 984-8280

Other providers in Liberty, MO

All providers in Liberty, MO · Behavior Technician in Missouri

Sources for this page

Verify at the official NPI Registry.