Pamela Baker, BCBA, LABA
Individual provider Active NPI Behavior Analyst · Auburn, MA
NPI 1659930188 · NPPES record last updated Jun 9, 2019
Key facts
- NPI
- 1659930188
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 889 (MA)
- Practice address
- 390A Southbridge St
Auburn, MA 01501-2456 - Phone
- (508) 321-7141
- Fax
- (508) 772-0050
- NPI assigned
- Jun 9, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 889 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home ABA LLC | Past |
Accepting new patients | |
| Strategic Behavioral Solutions LLC | Behavior Analyst | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 889 | MA | Yes |
Addresses
Primary practice location
390A Southbridge St
Auburn, MA 01501-2456
Mailing address
176 Maple Ave Apt 4-31
Rutland, MA 01543-1335
Phone (508) 927-2836
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EIN | Other | MA | ABA SERVICES |
Other providers in Auburn, MA
- Auburn Vna Extended Care
- Auburn Vna Health Network, Inc.
- Auburn Youth and Family Services
- Laith Azzouni
- Kelley Bailey
- Balian Family Dental
- Arthur Y Balian
- Kaitlyn Mae Banks
- Brent Alan Barge
- Linda Barry
All providers in Auburn, MA · Behavior Analyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2019. 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.