Individual
MIKAELA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5105 PAULSEN ST STE 100, SAVANNAH, GA 31405-4621
(912) 356-4200
Mailing address
5105 PAULSEN ST STE 100, SAVANNAH, GA 31405-4621
(912) 356-4200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-242461
GA
225X00000X
Occupational Therapist
Primary
OT009708
GA
Other
Enumeration date
11/08/2022
Last updated
01/13/2026
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