Individual
ANAN ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BEHAIVOR TECHNICIAN
Contact information
Practice address
200 S WENONA ST STE 195, BAY CITY, MI 48706-8820
(313) 497-2665
(313) 583-7002
Mailing address
200 S WENONA ST STE 195, BAY CITY, MI 48706-8820
(313) 497-2665
(313) 583-7002
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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