Provider Demographics
NPI:1588271548
Name:WEINSTEIN, ALIYA
Entity type:Individual
Prefix:
First Name:ALIYA
Middle Name:
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALIYA
Other - Middle Name:
Other - Last Name:AGINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2 STRAWBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7524
Mailing Address - Country:US
Mailing Address - Phone:949-264-2523
Mailing Address - Fax:
Practice Address - Street 1:2 STRAWBRIDGE CT
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-7524
Practice Address - Country:US
Practice Address - Phone:949-264-2523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty