Wellformed AI

NPI 1871760660 · live from the CMS NPI Registry

Shalan Kathleen Baker, BCBA

Behavior Analyst in Royal Center, IN. National Provider Identifier 1871760660, active.

NPI record

NPI1871760660 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3449 W State Road 16, Royal Center, IN 46978
Practice phone574-727-1026
EnumeratedMay 12, 2008
Last updatedMarch 30, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-18-32968

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.