Individual ProviderAntoinette BaranovMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address347 Florence Ave, Second Floor, Oakland, CA 94618-2530(510) 817-4577PECOS EnrollmentBased on the most recent information from CMS, provider Antoinette Baranov does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1093869471Provider TypeIndividualFull NameBaranov, AntoinetteCredentialMFTGenderFemaleSole ProprietorNoEnumeration Date1/22/2007Last Updated9/15/2015Contact InformationPractice LocationPractice Address347 Florence Ave, Second Floor, Oakland, CA 94618-2530Phone(510) 817-4577Fax(925) 431-2644Mailing LocationMailing Address347 Florence Ave, Second Floor, Oakland, CA 94618-2530Phone(510) 817-4577FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC34757California