| NPI | 1629759097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN MAZLOUM Owner 313-888-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-08-03 |