Individual
KRISTINA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8283 OFFICE PARK DR, GRAND BLANC, MI 48439-2032
(810) 321-3001
Mailing address
8285 S SAGINAW ST, GRAND BLANC, MI 48439-2468
(844) 854-6878
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001421
MI
Other
Enumeration date
07/19/2019
Last updated
10/30/2023
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