Individual
MRS. KIMBERLY ANN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 S AIR DEPOT BLVD STE 9, MIDWEST CITY, OK 73110-4860
(405) 455-6868
(405) 562-3444
Mailing address
1212 S AIR DEPOT BLVD STE 9, MIDWEST CITY, OK 73110-4860
(405) 455-6868
(405) 562-3444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-215981
UT
Other
Enumeration date
12/30/2019
Last updated
11/11/2022
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