Individual
DANN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 S DONAGHEY AVE, CONWAY, AR 72034-6880
(501) 400-0924
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-243773
AR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/11/2022
Last updated
11/17/2022
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