Individual
ABIGAIL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4559 BENES AVE, GLEN CARBON, IL 62034-1541
(314) 240-1730
Mailing address
4559 BENES AVE, GLEN CARBON, IL 62034-1541
(314) 240-1730
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/17/2017
Last updated
05/12/2026
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