Ayesha K Parks
Behavior Analyst in Novi, MI. Individual provider (NPI-1).
NPI number1164071932
StatusActive
Last updated in NPPESAug 9, 2022
Details
- NPI
- 1164071932
- Entity type
- Individual (NPI-1)
- Name
- Ayesha K Parks
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2019
- Certification date
- Aug 9, 2022
- Last updated
- Aug 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 7401000831 | MI | Yes |
| 103K00000X | Behavior Analyst | – | – |
Practice location
44225 W 12 Mile RdNovi, MI 48377-2638
Phone 248-277-3005
Mailing address
44225 W 12 Mile RdNovi, MI 48377-2638
Phone 248-277-3005
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