Individual provider · NPI-1

Taylor Baker

Behavior Technician · Eagle River, AK

NPI number1154989267
StatusActive
Last updated in NPPESJun 4, 2019

Details

NPI
1154989267
Entity type
Individual (NPI-1)
Name
Taylor Baker
Sex
Female
Sole proprietor
No
Enumeration date
Jun 4, 2019
Last updated
Jun 4, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–AKYes

Practice location

16941 N Eagle River Loop Rd
Eagle River, AK 99577-7824

Phone 907-726-5330

Mailing address

16105 Point Lena Way
Juneau, AK 99801-8354

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