Provider Demographics
NPI:1457129702
Name:MAAJID-BEY, SUHAYLAH
Entity Type:Individual
Prefix:
First Name:SUHAYLAH
Middle Name:
Last Name:MAAJID-BEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DOLCCI
Other - Middle Name:
Other - Last Name:MAAJID-BEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:27320 PALO VERDE PL APT 203
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387-5180
Mailing Address - Country:US
Mailing Address - Phone:747-265-2722
Mailing Address - Fax:
Practice Address - Street 1:15233 VENTURA BLVD STE 500
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-2231
Practice Address - Country:US
Practice Address - Phone:297-887-7418
Practice Address - Fax:186-866-5002
Is Sole Proprietor?:No
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst