Provider Demographics
NPI:1790580546
Name:BAADI, ASHIEDU PHILIP
Entity type:Individual
Prefix:
First Name:ASHIEDU
Middle Name:PHILIP
Last Name:BAADI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13200 DOTY AVE APT 107
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-6250
Mailing Address - Country:US
Mailing Address - Phone:323-408-4319
Mailing Address - Fax:
Practice Address - Street 1:13200 DOTY AVE APT 107
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-6250
Practice Address - Country:US
Practice Address - Phone:323-408-4319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0-25-16144103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst