Organization
TERRA BEHAVIOR THERAPY CENTER FOR AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI ELKHALIL (OWNER)
(305) 926-0111
Entity
Organization
Contact information
Practice address
30150 PLYMOUTH RD, LIVONIA, MI 48150-2100
(313) 528-8476
Mailing address
30150 PLYMOUTH RD, LIVONIA, MI 48150-2100
(313) 528-8476
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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