Individual
LACEY KAYE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 LINWOOD DR, PARAGOULD, AR 72450-5364
(870) 682-3397
Mailing address
7010 CHAD COLLEY BLVD APT 704, FORT SMITH, AR 72916-6408
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79847
AR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/16/2023
Last updated
04/03/2025
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