Individual
VANITY KAITLIN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1087 E PARK BLVD STE 100, BOISE, ID 83712-7722
(208) 369-9168
Mailing address
2170 N FAIRMEADOW DR, BOISE, ID 83704-7029
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
06/19/2023
Last updated
01/23/2026
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