Individual
SAMANTHA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13100 MAGISTERIAL DR, LOUISVILLE, KY 40223-4102
(502) 253-1293
Mailing address
13100 MAGISTERIAL DR, LOUISVILLE, KY 40223-4102
(502) 253-1293
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
08/31/2007
Last updated
10/24/2022
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