Healthcare Provider Details

I. General information

NPI: 1043926389
Provider Name (Legal Business Name): DANIELLE BAKER BCBA, COBA, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2065 POLLOCK RD
DELAWARE OH
43015-3154
US

IV. Provider business mailing address

7351 SKYLINE DR E APT 117
COLUMBUS OH
43235-5736
US

V. Phone/Fax

Practice location:
  • Phone: 740-417-4679
  • Fax:
Mailing address:
  • Phone: 707-931-8651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2608234
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89061
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: