Healthcare Provider Details
I. General information
NPI: 1316861867
Provider Name (Legal Business Name): DREAM AUTISM CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2026
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6491 N SILVERY LN
DEARBORN HEIGHTS MI
48127-2138
US
IV. Provider business mailing address
6491 N SILVERY LN
DEARBORN HEIGHTS MI
48127-2138
US
V. Phone/Fax
- Phone: 818-926-3349
- Fax:
- Phone: 818-926-3349
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAMAN
SABETI-TOUSSI
Title or Position: CEO
Credential: M.A., BCBA, LBA
Phone: 818-926-3349