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NPI Code Detail

MEDICARE: MR. CHANCELLOR ARAE BAKER I BHT

MEDICARE:  MR. CHANCELLOR ARAE BAKER I BHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician44039837TX

General Provider Information

NPI Number : 1437075496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHANCELLOR ARAE BAKER I BHT
Provider Business Mailing Address
First Line : 1150 S PARRAMORE AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32805-3808
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1150 S PARRAMORE AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32805-3808
Country : US
Telephone Number : 815-821-7751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2026
Last Update Date : 06/25/2026

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Directions to “ MR. CHANCELLOR ARAE BAKER I BHT” Practice Location

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