Individual
LUKE PATRICK BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 60631-3524
(773) 644-7787
Mailing address
7107 104TH AVE UNIT P, KENOSHA, WI 53142-7889
(224) 406-0559
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-23-14719
WI
Other
Enumeration date
08/31/2023
Last updated
01/21/2025
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