Individual
AISHA DWAN KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
642 E 9 MILE RD, FERNDALE, MI 48220-1962
(248) 547-2668
(248) 547-3052
Mailing address
23105 PROVIDENCE DR APT 401, SOUTHFIELD, MI 48075-3625
(248) 990-1353
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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