Individual
SHALAN KATHLEEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3449 W STATE ROAD 16, ROYAL CENTER, IN 46978-9052
(574) 727-1026
Mailing address
3449 W STATE ROAD 16, ROYAL CENTER, IN 46978-9052
(574) 727-1026
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32968
—
Other
Enumeration date
05/12/2008
Last updated
03/30/2023
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