Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Malack Boussi

Individual provider Behavior Technician · NPI 1114822772

Malack Boussi is a Behavior Technician in Livonia, Michigan. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

13955 Farmington Rd
Livonia, MI 48154-5453
Phone: (734) 237-8625
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1114822772
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 13, 2026
Last updated in NPPESOctober 13, 2026
Certification dateOctober 13, 2026

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