Healthcare Provider Details

I. General information

NPI: 1851560734
Provider Name (Legal Business Name): JAMIN I GAHM M.A., B.C.B.A
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2008
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29691 6 MILE RD STE 100D
LIVONIA MI
48152-8606
US

IV. Provider business mailing address

29691 6 MILE RD STE 100D
LIVONIA MI
48152-8606
US

V. Phone/Fax

Practice location:
  • Phone: 248-215-0090
  • Fax:
Mailing address:
  • Phone: 844-263-1613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: