Individual
MR. ALEX GRAHAM BAKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 E PINE ST # 1252, LAKELAND, FL 33801-4969
(813) 602-0068
Mailing address
2424 W BRANDON BLVD # 1268, BRANDON, FL 33511-4717
(813) 602-0068
(813) 354-2715
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/12/2024
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