Healthcare Provider Details

I. General information

NPI: 1215859095
Provider Name (Legal Business Name): SARAH BAKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 COOPER POINT RD SW
OLYMPIA WA
98502-7204
US

IV. Provider business mailing address

701 ALTA ST SW APT L401
OLYMPIA WA
98502-1231
US

V. Phone/Fax

Practice location:
  • Phone: 360-464-9052
  • Fax:
Mailing address:
  • Phone: 206-670-6686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: