Individual
MS. MISSY ANN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1113 E MAIN ST, JOHNSON CITY, TN 37601-4823
(757) 871-9209
(888) 398-7035
Mailing address
1113 E MAIN ST, JOHNSON CITY, TN 37601-4823
(757) 871-9209
(888) 398-7035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/21/2009
Last updated
01/19/2015
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