Provider Demographics
NPI:1669246153
Name:BEY, FAATIMAH
Entity type:Individual
Prefix:
First Name:FAATIMAH
Middle Name:
Last Name:BEY
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 1:10309 S INGLEWOOD AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90304-3908
Mailing Address - Country:US
Mailing Address - Phone:951-388-0284
Mailing Address - Fax:
Practice Address - Street 1:10309 S INGLEWOOD AVE APT 9
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90304-3908
Practice Address - Country:US
Practice Address - Phone:951-388-0284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician