Individual
ANDREA DENISE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 BRADY DR, IRVING, TX 75061-4746
(214) 240-2149
Mailing address
1120 BRADY DR, IRVING, TX 75061-4746
(214) 240-2149
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-435931
TX
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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