Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003275835 |
---|---|
Provider Name | Duaa Al-Khafaji |
First Address | Dearborn, MI 48124-2044 |
Second Address | Dearborn, MI 48124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2016 |
Last Update Date | 06/08/2021 |