Individual
SAMANTHA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LABA
Contact information
Practice address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
Mailing address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2533
MA
Other
Enumeration date
07/15/2014
Last updated
12/11/2020
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