Individual
SAMAH KHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2021 MONROE ST, DEARBORN, MI 48124-2926
(517) 245-4778
(517) 698-8223
Mailing address
PO BOX 12279, LANSING, MI 48901-2279
(571) 245-4777
(517) 698-8223
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001244
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/06/2017
Last updated
09/14/2021
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