Individual
TALIA BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
561 PINE ST APT 2, MANCHESTER, NH 03104-3531
(603) 854-7660
Mailing address
561 PINE ST APT 2, MANCHESTER, NH 03104-3531
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NH11774548
NH
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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