Individual
ALI ALEX BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23500 PARK ST STE 4, DEARBORN, MI 48124-2593
(313) 694-7700
Mailing address
627 S GULLEY RD, DEARBORN, MI 48124-1235
(313) 600-4700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/13/2026
Last updated
06/13/2026
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