Individual
DANIEL R BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11681 VOYAGER PKWY STE 150, COLORADO SPRINGS, CO 80921-3864
(719) 344-9342
(719) 375-3531
Mailing address
PO BOX 756, DIVIDE, CO 80814-0756
(904) 392-8825
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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