Individual provider · NPI-1

Aysha Abudayya

Behavior Technician · Detroit, MI

NPI number1053072207
StatusActive
Last updated in NPPESJan 12, 2022

Details

NPI
1053072207
Entity type
Individual (NPI-1)
Name
Aysha Abudayya
Sex
Female
Sole proprietor
No
Enumeration date
Jan 9, 2022
Certification date
Jan 12, 2022
Last updated
Jan 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

7375 Woodward Ave Ste 2800
Detroit, MI 48202-3157

Phone 888-922-2843 · Fax 855-568-2494

Mailing address

18726 S. Western Avenue
Gardena, CA 90248

Phone 310-856-0800 · Fax 855-568-2494

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