| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AYESHA OUTLAND | 1922691666 | 2021-02-13 |
Ayesha Outland is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922691666. Registration indicates Ayesha Outland is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Ayesha Outland |
| Practice Office Address | 2677 E 55TH WAY APT 1 LONG BEACH, CA US |
| Practice Office Telephone | 5624999650 |
| Mailing Address | 2677 E 55TH WAY APT 1 LONG BEACH, CA 908055010 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2677 E 55th Way Apt 1 | Long Beach, CA 908055010 | 5624999650 |
| Code | Practice | License No State |
|---|---|---|
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers |
CA |