Active NPI
Duaa Al-Khafaji, MS
- Behavior Analyst
- Detroit, MI
National Provider Identifier
1003275835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 7375 Woodward Ave
Detroit, MI 48202-3158 - Phone
- (313) 710-8744
- Fax
- (855) 568-2494
- NPI assigned
- Feb 22, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7375 Woodward Ave
Detroit, MI 48202-3158
Mailing address
19853 Outer Dr Ste 110
Dearborn, MI 48124-2044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 5, 2023.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1003275835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19853 OUTER DR STE 110",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7375 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023158",
"telephone_number": "313-710-8744",
"fax_number": "855-568-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-KHAFAJI",
"first_name": "DUAA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-22",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.