Kaitlin Kristine Bakker, BS, MHP
Individual provider Active NPI Behavior Technician · Baxter, MN
NPI 1649803263 · NPPES record last updated Feb 21, 2020
Key facts
- NPI
- 1649803263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 14387 Edgewood Dr
Baxter, MN 56425-8460 - Phone
- (218) 454-5181
- NPI assigned
- Feb 21, 2020
- 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
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
14387 Edgewood Dr
Baxter, MN 56425-8460
Mailing address
14387 Edgewood Dr
Baxter, MN 56425-8460
Other providers in Baxter, MN
- Axness Chiropractic PLLC
- Angela Mae Axness
- Arik James Axness
- Mohammed Azeemuddin
- Andrew Bader
- Christopher Ball
- Brianne Joan Baloga
- Sophie Samantha Balster
- Andrew Banal
- Kevin J Bardwell
All providers in Baxter, MN · Behavior Technician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2020. 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.