Individual
MRS. BASMA ELKALIOUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6888 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3032
(248) 846-8703
Mailing address
6884 BROOK HOLLOW CT, WEST BLOOMFIELD, MI 48322-5206
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002090
MI
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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