Individual
BAYLEE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1312 PATTON RD, GREAT BEND, KS 67530-3120
(620) 617-8639
Mailing address
1312 PATTON RD, GREAT BEND, KS 67530-3120
(620) 617-8639
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-177922
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
KS
Enumeration date
08/02/2021
Last updated
08/02/2021
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