Individual
KIMBERLY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 CARDINAL CT, MEDFORD, NJ 08055-8317
(405) 323-4503
Mailing address
56 CARDINAL CT, MEDFORD, NJ 08055-8317
(405) 323-4503
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21719
CO
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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