Healthcare Provider Details

I. General information

NPI: 1689505422
Provider Name (Legal Business Name): CEDARIA ABA THERAPY L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29217 FORD RD STE 112
GARDEN CITY MI
48135-2890
US

IV. Provider business mailing address

29217 FORD RD STE 112
GARDEN CITY MI
48135-2890
US

V. Phone/Fax

Practice location:
  • Phone: 313-210-6564
  • Fax:
Mailing address:
  • Phone: 313-210-6564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: HAITHAM ZWEN
Title or Position: OWNER
Credential: BCABA
Phone: 313-888-7270