Individual
SHAMS ISAM YALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30503 GREENFIELD RD, SOUTHFIELD, MI 48076-1594
(248) 691-4744
(248) 691-4745
Mailing address
26901 BEAUMONT BLVD # 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1952
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002338
MI
Other
Enumeration date
08/28/2019
Last updated
09/17/2024
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