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Samantha Baker

Behavior Technician in Kalamazoo, MI. Individual provider (NPI-1).

NPI number1982321972
StatusActive
Last updated in NPPESOct 20, 2022

Details

NPI
1982321972
Entity type
Individual (NPI-1)
Name
Samantha Baker
Sex
Female
Sole proprietor
No
Enumeration date
Oct 20, 2022
Certification date
Oct 20, 2022
Last updated
Oct 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1040 N 10th St Ste 100
Kalamazoo, MI 49009-6150

Phone 419-299-8648

Mailing address

2550 N Hollywood Way Ste 102
Burbank, CA 91505-5031

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