Individual
BROOKLYN CHANI MUHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 W DRAGOON TRL, MISHAWAKA, IN 46544-4713
(574) 855-4292
(574) 635-3201
Mailing address
422 N 5TH ST, NILES, MI 49120-2441
(574) 303-7270
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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