Kimberly Ann Baker
Individual provider Active NPI Behavior Technician · Midwest City, OK
NPI 1669011268 · NPPES record last updated Nov 11, 2022
Key facts
- NPI
- 1669011268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-22-215981 (UT)
- Practice address
- 1212 S Air Depot Blvd Ste 9
Midwest City, OK 73110-4860 - Phone
- (405) 455-6868
- Fax
- (405) 562-3444
- NPI assigned
- Dec 30, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-215981 | UT | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-215981 | UT | Yes |
Addresses
Primary practice location
1212 S Air Depot Blvd Ste 9
Midwest City, OK 73110-4860
Mailing address
1212 S Air Depot Blvd Ste 9
Midwest City, OK 73110-4860
Phone (405) 455-6868
Other providers in Midwest City, OK
- Darcy Baetz
- Bailey Brooks LLC
- Bertjuanette Jorice Bailey-Guthery
- Maurtyna Bailey-Lusby
- Katelyn Bailey
- Mary Louise Baker
- Tiffany A Baker
- Jacob Dylan Bakewell
- Balanced Care Chiropractic PLLC
- Balanced Care Pain Center PLLC
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 Nov 11, 2022. 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.