Provider Demographics
NPI:1043891633
Name:BEKHIT, SANDY
Entity Type:Individual
Prefix:MS
First Name:SANDY
Middle Name:
Last Name:BEKHIT
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:SANDY
Other - Middle Name:
Other - Last Name:ATTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2601 E CHAPMAN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-3737
Mailing Address - Country:US
Mailing Address - Phone:949-293-6249
Mailing Address - Fax:
Practice Address - Street 1:2601 E CHAPMAN AVE STE 102
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3737
Practice Address - Country:US
Practice Address - Phone:949-293-6249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor