Individual
SHATERA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
346 S TERRY RD, SYRACUSE, NY 13219-2232
(315) 383-2102
Mailing address
346 S TERRY RD, SYRACUSE, NY 13219-2232
(315) 383-2102
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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