Individual
MR. FUAD JEILANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1632 TOWN COMMONS DR, HOWELL, MI 48855-6804
(517) 245-4778
(517) 698-8223
Mailing address
PO BOX 12279, LANSING, MI 48901-2279
(517) 245-4777
(517) 698-8223
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J450264029686
BEHAVIOR ANALYST
MI
Enumeration date
08/26/2021
Last updated
11/11/2021
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