Individual
DEMETRIA J BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N ILLINOIS ST STE 1600, INDIANAPOLIS, IN 46204-4218
(317) 593-1243
Mailing address
311 BOULEVARD OF AMERICAS STE 304, LAKEWOOD, NJ 08701-4960
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-380178
IN
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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