Barron-Shasho, Ava Iris

Barron-Shasho, Ava Iris is an individual health care provider with primary practice located at 3806 Tabor Rd , Owings Mills MD 21117-1201. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Barron-Shasho, Ava Iris can be contacted via phone (410) 356-0796.

Contact Information

Primary practice address
3806 Tabor Rd Owings Mills MD 21117-1201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 08655 Maryland

Profile Details

NPI number 1447300041
LBN Legal business name Barron-Shasho, Ava Iris
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated May 5th, 2011 - about 15 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 1447300041 NPPES
Maryland MEDICAID 800400500

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