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NPI Code Detail

MEDICARE: AILADY MOTA MARISCAL

MEDICARE: AILADY MOTA MARISCAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1134094295
Entity Type Code : Individual
Provider Name (Legal Business Name) : AILADY MOTA MARISCAL
Provider Business Mailing Address
First Line : 27777 INKSTER RD STE 100
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48334-5312
Country : US
Telephone Number : 855-772-8847
Fax Number : 248-621-3830
Provider Business Practice Location Address
First Line : 7236 S CENTRAL AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-5425
Country : US
Telephone Number : 885-772-8847
Fax Number : 248-479-4431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2025
Last Update Date : 10/08/2025

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Directions to “ AILADY MOTA MARISCAL ” Practice Location

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