Individual
IBRAHIM SSALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 HEYWOOD RD, STERLING, MA 01564-2040
(857) 540-8283
Mailing address
75 HEYWOOD RD, STERLING, MA 01564-2040
(857) 540-8283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10001318
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S77976412
DRIVERS LICENSE
MA
Enumeration date
12/11/2023
Last updated
05/05/2025
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