Healthcare Provider Details

I. General information

NPI: 1356700884
Provider Name (Legal Business Name): CARALEE BAKER RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2016
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

198 SHADOW POINT DR
ST GEORGE UT
84770-8011
US

IV. Provider business mailing address

385 N MAIN ST
HURRICANE UT
84737-1854
US

V. Phone/Fax

Practice location:
  • Phone: 951-905-8652
  • Fax:
Mailing address:
  • Phone: 435-574-8480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-15-1108-30793
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: