Bayan Mohamad Ajami

Individual provider Active NPI Behavior Technician · Dearborn, MI

NPI 1992567598 · NPPES record last updated Jan 29, 2024

Key facts

NPI
1992567598
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
23663 Park St
Dearborn, MI 48124-2547
Phone
(313) 689-5188
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

23663 Park St
Dearborn, MI 48124-2547

Mailing address

23663 Park St
Dearborn, MI 48124-2547

Other providers in Dearborn, MI

All providers in Dearborn, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.