| NPI | 1427786649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMDALI MAZLOUM Owner 313-870-7204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2023-08-12 |