Provider Demographics
NPI:1528749538
Name:BAIG, SADAF
Entity type:Individual
Prefix:
First Name:SADAF
Middle Name:
Last Name:BAIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18540 PRAIRIE ST
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3148
Mailing Address - Country:US
Mailing Address - Phone:818-721-1811
Mailing Address - Fax:
Practice Address - Street 1:18540 PRAIRIE ST APT 102
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3119
Practice Address - Country:US
Practice Address - Phone:818-714-6165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician