Individual
AKRUM EIDELSAFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
8285 S SAGINAW ST, GRAND BLANC, MI 48439-2468
(810) 321-3019
(810) 321-3002
Mailing address
8285 S SAGINAW ST, GRAND BLANC, MI 48439-2468
(810) 321-3019
(810) 321-3002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000688
MI
Other
Enumeration date
06/08/2018
Last updated
11/02/2022
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