Individual
ABDEL BARI KHADER ATTALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5111 AUTO CLUB DR STE 112, DEARBORN, MI 48126-2684
(844) 244-1818
Mailing address
5111 AUTO CLUB DR STE 112, DEARBORN, MI 48126-2684
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/29/2026
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