Individual
KRISTINA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8283 OFFICE PARK DR, GRAND BLANC, MI 48439-2032
(810) 321-3001
Mailing address
1387 N GALENA AVE, DIXON, IL 61021-1009
(815) 440-6134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
152002932
IL
103K00000X
Behavior Analyst
Primary
7401001421
MI
Other
Enumeration date
07/19/2019
Last updated
05/27/2026
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