Individual
ALEXA RAE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PSYS
Contact information
Practice address
715 TERRACE ST, MUSKEGON, MI 49440-1105
(800) 644-2434
Mailing address
715 TERRACE ST, MUSKEGON, MI 49440-1105
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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