Organization
CLEAR BRIDGE ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERA ISMAIL (OWNER/PARTNER)
(313) 613-7161
Entity
Organization
Contact information
Practice address
645 CLAREMONT ST, DEARBORN, MI 48124-1517
(313) 613-7161
Mailing address
23131 MICHIGAN AVE # 1206, DEARBORN, MI 48124-2020
(313) 613-7161
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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