Individual
MOAED A ABD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20225 ANN ARBOR TRL, DEARBORN HEIGHTS, MI 48127-2690
(248) 982-6722
Mailing address
4521 LANGDON DR APT 204, MORRISVILLE, NC 27560-5608
(248) 982-6722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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