Provider Demographics
NPI:1821195470
Name:BAKER, YARON JOSEPH (MS,CCC-SLP)
Entity type:Individual
Prefix:
First Name:YARON
Middle Name:JOSEPH
Last Name:BAKER
Suffix:
Gender:M
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20890 HIGHLAND LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-1666
Mailing Address - Country:US
Mailing Address - Phone:305-733-1992
Mailing Address - Fax:
Practice Address - Street 1:20890 HIGHLAND LAKES BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-1666
Practice Address - Country:US
Practice Address - Phone:305-733-1992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA5366235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist