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NPI Code Detail

MEDICARE: MRS. TIFFANY BAKER RBT

MEDICARE:  MRS. TIFFANY  BAKER  RBT
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 TechnicianRBT-22-239441FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205543048
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TIFFANY BAKER RBT
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number : 855-832-6727
Fax Number :
Provider Business Practice Location Address
First Line : 4123 WHITE PINE CT
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-4155
Country : US
Telephone Number : 850-694-0226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2022
Last Update Date : 11/01/2022

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Directions to “ MRS. TIFFANY BAKER RBT” Practice Location

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