Individual
MARIAM NASHWAN MALAKHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27777 INKSTER RD, FARMINGTON HILLS, MI 48334
(248) 299-0030
Mailing address
19853 OUTER DR STE 110, DEARBORN, MI 48124-2044
(313) 406-5056
(248) 712-4381
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/17/2018
Last updated
08/03/2021
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