Individual
AHMED ABUSHABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15001 MICHIGAN AVE, DEARBORN, MI 48126-6600
(313) 581-6188
Mailing address
15001 MICHIGAN AVE, DEARBORN, MI 48126-6600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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