Individual
RYAN JOHN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4720
(865) 394-6612
(865) 315-7014
Mailing address
9038 CROSS PARK DR STE 105, KNOXVILLE, TN 37923-4720
(865) 394-6612
(865) 315-7014
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-32203
MA
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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