Adiva Islam
Behavior Technician in Grosse Pointe Woods, MI. Individual provider (NPI-1).
NPI number1902799331
StatusActive
Last updated in NPPESJun 3, 2025
Details
- NPI
- 1902799331
- Entity type
- Individual (NPI-1)
- Name
- Adiva Islam
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2025
- Certification date
- Jun 3, 2025
- Last updated
- Jun 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
19251 Mack Ave Ste M450Grosse Pointe Woods, MI 48236-2893
Phone 313-343-1370 · Fax 248-712-0438
Mailing address
19251 Mack Ave Ste M450Grosse Pointe Woods, MI 48236-2893
Phone 313-343-1370 · Fax 248-712-0438
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All 195 Behavior Technician providers in Grosse Pointe Woods · All 706 providers in Grosse Pointe Woods
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