Tara Marie Baker, MS./ED.
Individual provider Active NPI Behavior Analyst · Malverne, NY
NPI 1992052252 · NPPES record last updated Aug 6, 2012
Key facts
- NPI
- 1992052252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1702493 (NY)
- Practice address
- 62 Doncaster Rd
Malverne, NY 11565-1015 - Phone
- (516) 792-6940
- Fax
- (631) 594-3604
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 1702493 | NY | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1702493 | NY | Yes |
Addresses
Primary practice location
62 Doncaster Rd
Malverne, NY 11565-1015
Mailing address
62 Doncaster Rd
Malverne, NY 11565-1015
Phone (516) 792-6940
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1702493 | Other | NY | EARLY INTERVENTION SERVICE PROVIDERS LICENSE/CERTIFICATION NUMBER |
Other providers in Malverne, NY
- Amanda Angilletta
- Lisa K Askinazi
- Myrlene Azor-Jean
- Linda M. Babolcsay
- Kyoung Han Bae
- Lauren Marie Baron
- Chestine Barrett
- Nancy Beattty
- Melody Garcia Bernabe
- Sonia C Bicocchi
All providers in Malverne, NY · Behavior Analyst in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2012. 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.