Individual provider · NPI-1

Kristina Baker, BCBA

Behavior Analyst · Grand Blanc, MI

NPI number1679126528
StatusActive
Last updated in NPPESMay 27, 2026

Details

NPI
1679126528
Entity type
Individual (NPI-1)
Name
Kristina Baker
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 19, 2019
Certification date
May 27, 2026
Last updated
May 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst152002932ILYes

Practice location

8283 Office Park Dr
Grand Blanc, MI 48439-2032

Phone 810-321-3001

Mailing address

1387 N Galena Ave
Dixon, IL 61021-1009

Phone 815-440-6134

Other practice locations

1387 N Galena Ave
Dixon, IL 61021-1009

Phone 815-440-6134

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