Individual
FATIMA ALKASSIR OTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
39555 ORCHARD HILL PL STE 600, NOVI, MI 48375-5381
(248) 599-1582
(855) 568-2494
Mailing address
18726 S WESTERN AVE, GARDENA, CA 90248-3813
(310) 856-0800
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001215
MI
Other
Enumeration date
10/23/2020
Last updated
05/18/2022
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