Baldazo, Brenda

Baldazo, Brenda is an individual health care provider with primary practice located at 8912 Volunteer Ln , Sacramento CA 95826-3221. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Baldazo, Brenda can be contacted via phone (916) 344-0199.

Contact Information

Primary practice address
8912 Volunteer Ln Sacramento CA 95826-3221
Phone: (916) 344-0199
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Peer Specialist 175T00000X MPSS-RCBDHM California

Profile Details

NPI number 1245705557
LBN Legal business name Baldazo, Brenda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2018
Last updated Apr 22nd, 2024 - about 8 months 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 1245705557 NPPES
California MEDICAID 94447131D

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