Individual provider · NPI-1

Azal Abdulridha

Behavior Technician · Detroit, MI

NPI number1235899865
StatusActive
Last updated in NPPESDec 22, 2021

Details

NPI
1235899865
Entity type
Individual (NPI-1)
Name
Mr. Azal Abdulridha
Sex
Male
Sole proprietor
No
Enumeration date
Dec 22, 2021
Certification date
Dec 22, 2021
Last updated
Dec 22, 2021

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 Ave Ste 408
Gardena, CA 90248-3858

Phone 310-856-0800 · Fax 855-568-2494

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