Individual
ABTISAM FADHLE HUSSEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 ROULO ST, DEARBORN, MI 48120-1440
(313) 406-4586
Mailing address
2900 ROULO ST, DEARBORN, MI 48120-1440
(313) 406-4586
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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