Organization
TINY TRAILS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM SALEH (BCBA)
(734) 883-0358
Entity
Organization
Contact information
Practice address
4031 STANLEY AVE, ALLEN PARK, MI 48101-3527
(734) 883-0358
Mailing address
4031 STANLEY AVE, ALLEN PARK, MI 48101-3527
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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