Healthcare Provider Details

I. General information

NPI: 1154268670
Provider Name (Legal Business Name): SABA SALEH MUSED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5445 OAKMAN BLVD
DEARBORN MI
48126-3319
US

IV. Provider business mailing address

4465 JONATHON ST
DEARBORN MI
48126-3629
US

V. Phone/Fax

Practice location:
  • Phone: 313-406-4586
  • Fax:
Mailing address:
  • Phone: 313-406-4586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number230758758445
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: