Individual
KOSAI ZAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8175 MOVIE DR, BRIGHTON, MI 48116-7444
(248) 277-3005
Mailing address
8175 MOVIE DR, BRIGHTON, MI 48116-7444
(248) 277-3005
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001048
MI
103K00000X
Behavior Analyst
—
—
247200000X
Other Technician
Z000475460762
MI
Other
Enumeration date
05/24/2016
Last updated
08/18/2022
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