Individual provider · NPI-1

Maya Abdou Aly

Behavior Technician · Detroit, MI

NPI number1053120337
StatusActive
Last updated in NPPESJan 2, 2025

Details

NPI
1053120337
Entity type
Individual (NPI-1)
Name
Maya Abdou Aly
Sex
Female
Sole proprietor
No
Enumeration date
Jan 2, 2025
Certification date
Jan 2, 2025
Last updated
Jan 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

8904 Woodward Ave
Detroit, MI 48202-1821

Phone 313-552-6670

Mailing address

8904 Woodward Ave
Detroit, MI 48202-1821

Phone 313-552-6670

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