IndividualActive
Abhishek Mudiraj
NPI 1811714405 · Behavior Technician · Dearborn, MI
Provider details
- NPI number
- 1811714405
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
19853 Outer Dr
Dearborn, MI 48124-2066
Phone: (313) 406-5056
Approximate (ZIP-level) locationGet directions
Mailing address
19853 Outer Dr
Dearborn, MI 48124-2066
Registry dates
- Enumerated
- 2024-09-24
- Last updated
- 2024-09-24
- Certified
- 2024-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.