Individual
QUANTRELL BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3358 CANDELARIA DR, SPARKS, NV 89434-1705
(775) 409-2146
Mailing address
3358 CANDELARIA DR, SPARKS, NV 89434-1705
(775) 409-2146
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-1777937
—
NV
Enumeration date
09/03/2018
Last updated
09/12/2018
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