Jolene Baker

Individual provider Active NPI Behavior Technician · Deeth, NV

NPI 1730833013 · NPPES record last updated Feb 7, 2022

Key facts

NPI
1730833013
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1900 Dennis Flat Road
Deeth, NV 89823-8982
Phone
(775) 340-5943
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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
Robert Johnson Bcba Current
since Feb 4, 2024
Accepting new patients
Robert Johnson Bcba LLC Past
since Feb 13, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1900 Dennis Flat Road
Deeth, NV 89823-8982

Mailing address

PO Box 57
Deeth, NV 89823-0057
Phone (775) 385-4825

Other providers in Deeth, NV

All providers in Deeth, NV · Behavior Technician in Nevada

Sources for this page

Verify at the official NPI Registry.