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Mark Gregory Baker

Day Training/Habilitation Specialist in San Mateo, CA. Individual provider (NPI-1).

NPI number1386448827
StatusActive
Last updated in NPPESOct 30, 2026

Details

NPI
1386448827
Entity type
Individual (NPI-1)
Name
Mark Gregory Baker
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 3, 2025
Certification date
Oct 30, 2026
Last updated
Oct 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes
225400000X Rehabilitation Practitioner––

Practice location

1700 S Amphlett Blvd Ste 120
San Mateo, CA 94402-2711

Phone 650-683-2097

Mailing address

1700 S Amphlett Blvd Ste 120
San Mateo, CA 94402-2711

Phone 650-683-2097

Other practice locations

96 S 14th St
San Jose, CA 95112-2015

Phone 408-998-3293

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