Individual
AYESHA K PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44225 W 12 MILE RD, NOVI, MI 48377-2638
(248) 277-3005
Mailing address
44225 W 12 MILE RD, NOVI, MI 48377-2638
(248) 277-3005
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000831
MI
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/05/2019
Last updated
08/09/2022
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