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Kourtney Baker
NPI 1679030993 · on the registry since 2019
Practice
- Address
- 5150 Palm Valley Rd Ste 102
Ponte Vedra Beach, FL 32082 - Phone
- (904) 719-0836
- Organisation at this address
- Pep Network Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida