Mariam Abduljabbar
Individual provider Active NPI Behavior Technician · Dearborn, MI
NPI 1003594904 · NPPES record last updated Jul 10, 2023
Key facts
- NPI
- 1003594904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 23663 Park St
Dearborn, MI 48124-2547 - Phone
- (313) 689-5188
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
23663 Park St
Dearborn, MI 48124-2547
Mailing address
23663 Park St
Dearborn, MI 48124-2547
Phone (313) 689-5188
Other providers in Dearborn, MI
- Ahmed Abdulbagi
- Abdullatif Abdulghani
- Abdulhadi Sinan MD PC
- Abraham Abdulhak
- Taha Abduljabar
- Mahmoud Najib Abdulkarim
- Mehad Taha Abdulkarim
- Husam Ahmad Abdulkhaleq
- Bilal Abdulla
- Dina Ahmed Abdulla
All providers in Dearborn, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.