Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | MI |
NPI | 1003401407 |
---|---|
Provider Name | Hind Obad Ahmed |
First Address | Dearborn, MI 48124-2890 |
Second Address | Dearborn, MI 48124-2890 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2021 |
Last Update Date | 08/03/2021 |