Individual
ALI ALTACHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23663 PARK ST, DEARBORN, MI 48124-2547
(313) 689-5188
Mailing address
23663 PARK ST, DEARBORN, MI 48124-2547
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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