Individual
JORDYN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7932 SUMMA AVE STE B2, BATON ROUGE, LA 70809-3736
(225) 349-7171
Mailing address
650 W MCKINLEY ST APT 1301, BATON ROUGE, LA 70802-7750
(414) 739-3229
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
B260-4269-9807-05
WI
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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