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Individual

TAYLOR K. BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5 CONSTITUTION WAY, WOBURN, MA 01801-1199
(888) 754-0398
Mailing address
26 PINE VW, MILLIS, MA 02054-1759
(508) 446-3843

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3243
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MTN980912652
BLUE CROSS
Enumeration date
04/30/2018
Last updated
10/11/2022
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