Provider Demographics
NPI:1194397307
Name:OUTFKIRT-HACHIMI, NAJAT (RBT)
Entity Type:Individual
Prefix:MRS
First Name:NAJAT
Middle Name:
Last Name:OUTFKIRT-HACHIMI
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10974 POBLADO RD APT 1714
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-5328
Mailing Address - Country:US
Mailing Address - Phone:176-087-7895
Mailing Address - Fax:
Practice Address - Street 1:411 CAMINO DEL RIO S STE 1011714
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3530
Practice Address - Country:US
Practice Address - Phone:760-271-1874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician