Individual
BETOUL ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 E CESAR E CHAVEZ AVE, LANSING, MI 48906-5457
(517) 884-1882
Mailing address
1107 E CESAR E CHAVEZ AVE, LANSING, MI 48906-5457
(517) 884-1882
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427443274
—
MI
Enumeration date
12/06/2022
Last updated
12/06/2022
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