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Organization

ABA THERAPY, LLC

Active
Other names
Blossom Children's Center-Novi
Organization subpart
No

Provider details

NPI number
Authorized official
ZIAD KOZA (CEO)
(248) 860-6212
Entity
Organization

Contact information

Practice address
44225 W 12 MILE RD STE C-106, NOVI, MI 48377-2640
(248) 860-6212
(248) 277-3050
Mailing address
44225 W 12 MILE RD STE C-106, NOVI, MI 48377-2640
(248) 277-3005

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103K00000X
Behavior Analyst
Primary
104100000X
Social Worker
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
04/11/2019
Last updated
11/02/2022
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