Baird, Shannon N

Baird, Shannon N is an individual health care provider with primary practice located at 16248 Victor St , Victorville CA 92395-3934. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Baird, Shannon N can be contacted via phone (760) 243-7151.

Contact Information

Primary practice address
16248 Victor St Victorville CA 92395-3934
Phone: (760) 243-7151
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 109564 California
Behavioral Health & Social Service Providers / Social Worker 104100000X 109564 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AII11511215 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RW1055 California

Profile Details

NPI number 1063621670
LBN Legal business name Baird, Shannon N
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Nov 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063621670 NPPES
California Other 5089 SIMON STAFF NUMBER

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