Provider Demographics
NPI:1356102552
Name:ABID, BETIA
Entity type:Individual
Prefix:
First Name:BETIA
Middle Name:
Last Name:ABID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24442 VALENCIA BLVD APT 2205
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1810
Mailing Address - Country:US
Mailing Address - Phone:310-713-9585
Mailing Address - Fax:
Practice Address - Street 1:24442 VALENCIA BLVD APT 2205
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1810
Practice Address - Country:US
Practice Address - Phone:310-713-9585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool