Individual
MS. SHANNON M BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(678) 755-0060
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BCH, FL 33441-1834
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
LA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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