Individual
ALI MAKKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1360 PORTER ST STE 100, DEARBORN, MI 48124-2894
(313) 689-5188
Mailing address
1360 PORTER ST STE 100, DEARBORN, MI 48124-2894
(313) 689-5188
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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