NPI 1104300920 · live from the CMS NPI Registry
Abdul-Haddi Abbas
Behavior Analyst in Farmington Hills, MI. National Provider Identifier 1104300920, active.
NPI record
| NPI | 1104300920 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334 |
| Practice phone | 248-436-4400 |
| Mailing address | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025 |
| Enumerated | September 18, 2018 |
| Last updated | June 27, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Technician/Technologist | 156F00000X | — |
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | 7401002122 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.