Individual
CAROLYNN MARIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
27127 CALLE ARROYO, STE 1921, SAN JUAN CAPISTRANO, CA 92675-2765
(949) 661-6753
(949) 661-6853
Mailing address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
(818) 345-2345
(866) 587-2383
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8869
CA
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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