Individual provider · NPI-1

Alexis Renee Baker

Early Intervention Provider Agency · Huntington, WV

NPI number1417782830
StatusActive
Last updated in NPPESOct 16, 2024

Details

NPI
1417782830
Entity type
Individual (NPI-1)
Name
Alexis Renee Baker
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 5, 2024
Certification date
Oct 16, 2024
Last updated
Oct 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
252Y00000X Early Intervention Provider Agency––Yes

Practice location

1546 Terrace Dr
Huntington, WV 25701-4033

Phone 304-687-9050

Mailing address

1546 Terrace Dr
Huntington, WV 25701-4033

Phone 304-687-9050

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