Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Qujuan Phillip Gresham

Individual provider Behavior Technician · NPI 1558299487

Qujuan Phillip Gresham is a Behavior Technician in Southfield, Michigan. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

23800 Northwestern Hwy Ste 190
Southfield, MI 48075-7740
Phone: (248) 900-2166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1558299487
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address23800 Northwestern Hwy Ste 190, Southfield, MI 48075-7740

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