Individual provider · NPI-1

Malak Bazzi

Behavior Analyst · Dearborn Heights, MI

NPI number1053180646
StatusActive
Last updated in NPPESFeb 13, 2025

Details

NPI
1053180646
Entity type
Individual (NPI-1)
Name
Malak Bazzi
Sex
Female
Sole proprietor
No
Enumeration date
Dec 25, 2023
Certification date
Feb 13, 2025
Last updated
Feb 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
374700000X Technician––

Practice location

6495 Kingsbury St
Dearborn Heights, MI 48127-2118

Phone 313-895-6114

Mailing address

6495 Kingsbury St
Dearborn Heights, MI 48127-2118

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