Provider Demographics
NPI:1447757794
Name:ALKABLANY, SANA
Entity Type:Individual
Prefix:
First Name:SANA
Middle Name:
Last Name:ALKABLANY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18000 AUDETTE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-4215
Mailing Address - Country:US
Mailing Address - Phone:313-265-9592
Mailing Address - Fax:
Practice Address - Street 1:18000 AUDETTE ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-4215
Practice Address - Country:US
Practice Address - Phone:313-265-9592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst