Individual provider · NPI-1

Deanna Samih Basha, BCBA

Behavior Analyst · Dearborn Heights, MI

NPI number1952848624
StatusActive
Last updated in NPPESJun 21, 2021

Details

NPI
1952848624
Entity type
Individual (NPI-1)
Name
Deanna Samih Basha
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 19, 2017
Certification date
Feb 1, 2021
Last updated
Jun 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst7401001296MIYes
106S00000X Behavior Technician––

Practice location

6027 Shadowlawn St
Dearborn Heights, MI 48127-2967

Phone 313-641-9505

Mailing address

6027 Shadowlawn St
Dearborn Heights, MI 48127-2967

Phone 313-641-9505

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