Individual
MALAK BAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6495 KINGSBURY ST, DEARBORN HEIGHTS, MI 48127-2118
(313) 895-6114
Mailing address
6495 KINGSBURY ST, DEARBORN HEIGHTS, MI 48127-2118
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
374700000X
Technician
—
—
Other
Enumeration date
12/25/2023
Last updated
02/13/2025
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