| Clear Bridge Aba | |
|
645 Claremont St Dearborn MI 48124-1517 | |
| (313) 613-7161 | |
| Not Available |
| Full Name | Clear Bridge Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 645 Claremont St, Dearborn, Michigan |
| Authorized Official Name and Position | Sera Ismail (OWNER/PARTNER) |
| Authorized Official Contact | 3136137161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Bridge Aba 23131 Michigan Ave # 1206 Dearborn MI 48124-2020 Ph: (313) 613-7161 | Clear Bridge Aba 645 Claremont St Dearborn MI 48124-1517 Ph: (313) 613-7161 |
| NPI Number | 1174328371 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174328371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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