| NPI | 1518685460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMAH KHATIB Bcba 313-552-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2023-11-06 |