Stevi-Rae Baca
Individual provider Active NPI Developmental Therapist · Danvers, MA
NPI 1770077166 · NPPES record last updated Jun 19, 2018
Key facts
- NPI
- 1770077166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 6 Southside Rd
Danvers, MA 01923-1409 - Phone
- (978) 762-8352
- NPI assigned
- Jun 19, 2018
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
6 Southside Rd
Danvers, MA 01923-1409
Mailing address
6 Southside Rd
Danvers, MA 01923-1409
Phone (978) 762-8352
Other providers in Danvers, MA
- Rico Francis Autori
- Thelma Avanessian
- Nolen Avant
- Megan Avey
- Alyssa Azotea
- Shannon Backstrom
- Susan Karla Bade
- Erin Bagley
- Emily Bailey
- Jennifer Cole Baima
All providers in Danvers, MA · Developmental Therapist 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 19, 2018. 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.