Provider Demographics
NPI:1679257216
Name:ALGABALI, AFAF SAKR
Entity Type:Individual
Prefix:
First Name:AFAF
Middle Name:SAKR
Last Name:ALGABALI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AFAF
Other - Middle Name:SAKR
Other - Last Name:ALGABALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5430 WILLIAMSON ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3559
Mailing Address - Country:US
Mailing Address - Phone:313-952-3382
Mailing Address - Fax:
Practice Address - Street 1:5430 WILLIAMSON ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3559
Practice Address - Country:US
Practice Address - Phone:313-952-3382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician