Individual
RYAN K BAKER-BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
105 HOLT ST, WATERTOWN, MA 02472-1019
(435) 363-6789
Mailing address
105 HOLT ST, WATERTOWN, MA 02472-1019
(435) 363-6789
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12588
—
103K00000X
Behavior Analyst
LABA2370
MA
Other
Enumeration date
11/19/2010
Last updated
05/26/2024
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