| NPI | 1295470474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANAL CHEHADEH Medical Director 734-987-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2026-06-30 |