Individual provider · NPI-1

Alexandra Nichole Baker

Behavior Analyst · Charlotte, NC

NPI number1942572748
StatusActive
Last updated in NPPESJul 12, 2023

Details

NPI
1942572748
Entity type
Individual (NPI-1)
Name
Alexandra Nichole Baker
Sex
Female
Sole proprietor
No
Enumeration date
Feb 8, 2012
Certification date
Jul 12, 2023
Last updated
Jul 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-16-21339INYes
222Q00000X Developmental Therapist––

Other names

  • Alexandra Telk (Former Name)

Practice location

701 Forest Point Cir
Charlotte, NC 28273-6629

Phone 980-375-6801 · Fax 317-520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Phone 855-324-0885 · Fax 317-520-8200

Other practice locations

111 Clebourne St
Fort Mill, SC 29715-1758

Phone 888-880-9270

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