Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003264672 |
---|---|
Provider Name | Kosai Zaya |
First Address | Dearborn, MI 48124-4118 |
Second Address | Dearborn, MI 48124-4118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2016 |
Last Update Date | 17/01/2020 |