Individual
PAMELA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
390A SOUTHBRIDGE ST, AUBURN, MA 01501-2456
(508) 321-7141
(508) 772-0050
Mailing address
176 MAPLE AVE APT 4-31, RUTLAND, MA 01543-1335
(508) 927-2836
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
889
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EIN
ABA SERVICES
MA
Enumeration date
06/09/2019
Last updated
06/09/2019
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