Individual
MAXWELL STEVEN BAENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
1432 HUNTLY CT, CARY, NC 27511-5212
(830) 431-0274
Mailing address
1432 HUNTLY CT, CARY, NC 27511-5212
(830) 431-0274
(830) 431-0274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-45137
OH
103K00000X
Behavior Analyst
Primary
385
NC
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
06/04/2021
Last updated
09/04/2023
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