Individual
ABDISATAR A MURIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2021 MONROE ST STE 304, DEARBORN, MI 48124-2926
(517) 245-4778
(517) 698-8223
Mailing address
1140 S HOLMES ST, LANSING, MI 48912-1952
(517) 402-7418
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M630029029477
DRIVER'S LICENSE
MI
Enumeration date
08/12/2019
Last updated
11/11/2021
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