Kellie Baker

NPI #1083315410 in Rogers, Minnesota

Provider Information

NPI Number: 1083315410
Entity Type: Individual
Name: Kellie Baker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 13, 2023
Last Updated: Mar 13, 2023

Practice Location

Address: 14000 NORTHDALE BLVD STE A
City: Rogers
State: Minnesota
ZIP Code: 55374-4663
Phone: (952) 544-0349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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