Individual
KATHRYN MICHELE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
8201 HENRY AVE APT Q24, PHILADELPHIA, PA 19128-2249
(330) 936-7333
Mailing address
8201 HENRY AVE APT Q24, PHILADELPHIA, PA 19128-2249
(330) 936-7333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24001
PA
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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