Active NPI
Rima Khattab
- Behavior Technician
- Dearborn Heights, MI
National Provider Identifier
1013417021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 8221 Wormer St
Dearborn Heights, MI 48127-1370 - Phone
- (313) 423-7942
- Fax
- (313) 423-7942
- NPI assigned
- Feb 16, 2018
- Last updated
- Feb 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
8221 Wormer St
Dearborn Heights, MI 48127-1370
Mailing address
23400 Michigan Ave
Dearborn, MI 48124-1924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609135748 | Other | CHITTER CHATTER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518739200000",
"number": "1013417021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23400 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8221 WORMER ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481271370",
"telephone_number": "313-423-7942",
"fax_number": "313-423-7942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHATTAB",
"first_name": "RIMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-16",
"last_updated": "2018-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHITTER CHATTER",
"identifier": "1609135748",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.