Provider Demographics
NPI:1861177552
Name:ABDULLAH, NAJAH
Entity type:Individual
Prefix:
First Name:NAJAH
Middle Name:
Last Name:ABDULLAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 W LONG LAKE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-4443
Mailing Address - Country:US
Mailing Address - Phone:248-245-8728
Mailing Address - Fax:248-927-5070
Practice Address - Street 1:1175 W LONG LAKE RD STE 102
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-4443
Practice Address - Country:US
Practice Address - Phone:248-245-8728
Practice Address - Fax:248-927-5070
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician