Organization
BRIGHT MIND THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN MAZLOUM (OWNER)
(313) 888-6188
Entity
Organization
Contact information
Practice address
26439 SIMS ST, DEARBORN HEIGHTS, MI 48127-4129
(313) 888-6188
Mailing address
26439 SIMS ST, DEARBORN HEIGHTS, MI 48127-4129
(313) 888-6188
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
07/28/2023
Last updated
08/03/2023
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