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NPI Code Detail

MEDICARE: ALLYSSA MAREE BAKER

MEDICARE: ALLYSSA MAREE BAKER
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 TechnicianWA

General Provider Information

NPI Number : 1881563997
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLYSSA MAREE BAKER
Provider Business Mailing Address
First Line : 34210 136TH AVE SE
Second Line :
City : AUBURN
State : WA
Zip : 98092-8501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7808 PACIFIC AVE STE 9
Second Line :
City : TACOMA
State : WA
Zip : 98408-7062
Country : US
Telephone Number : 206-291-8363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2025
Last Update Date : 11/05/2025

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Directions to “ ALLYSSA MAREE BAKER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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