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Khalil Ali

Behavior Technician in Marysville, MI. Individual provider (NPI-1).

NPI number1295445286
StatusActive
Last updated in NPPESAug 7, 2023

Details

NPI
1295445286
Entity type
Individual (NPI-1)
Name
Khalil Ali
Sex
Male
Sole proprietor
No
Enumeration date
Nov 30, 2022
Certification date
Aug 7, 2023
Last updated
Aug 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

195 Huron Blvd
Marysville, MI 48040-1421

Phone 989-401-2244

Mailing address

5039 Villa Linde Pkwy
Flint, MI 48532-3450

Phone 989-401-2244

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