Organization
PAIR TREE AUTISM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALAN BAKER (OWNER/BCBA)
(574) 240-8188
Entity
Organization
Contact information
Practice address
3449 W STATE ROAD 16, ROYAL CENTER, IN 46978
(574) 240-8188
Mailing address
3449 W STATE ROAD 16, ROYAL CENTER, IN 46978
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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