Individual ProviderKiah Baker-SchrockBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512(574) 400-2169(855) 324-0885PECOS EnrollmentBased on the most recent information from CMS, provider Kiah Baker-Schrock does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:33 PM.Profile DetailsProvider ID1699422808Provider TypeIndividualFull NameBaker-Schrock, KiahCredentialRBTGenderFemaleSole ProprietorNoEnumeration Date3/8/2022Last Updated3/8/2022Contact InformationPractice LocationPractice Address17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512Phone(574) 400-2169Fax(317) 520-8200Mailing LocationMailing Address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135Phone(855) 324-0885Fax(317) 520-8200Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-22-205866Indiana