Individual
GHADEER MAKKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E WEST MAPLE RD STE 100, WALLED LAKE, MI 48390-3571
(248) 313-2900
Mailing address
1401 CAMBRIDGE DR, DEARBORN, MI 48124-1732
(313) 492-8978
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TC0700X
Clinical Psychologist
6362009612
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/28/2020
Last updated
04/17/2024
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