Active NPI
Malak Bazzi
- Behavior Analyst
- Dearborn Heights, MI
National Provider Identifier
1053180646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 6495 Kingsbury St
Dearborn Heights, MI 48127-2118 - Phone
- (313) 895-6114
- NPI assigned
- Dec 25, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
6495 Kingsbury St
Dearborn Heights, MI 48127-2118
Mailing address
6495 Kingsbury St
Dearborn Heights, MI 48127-2118
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Autism Center LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Dearborn, MI
- NPI 1649994419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1053180646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6495 KINGSBURY ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6495 KINGSBURY ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272118",
"telephone_number": "313-895-6114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZZI",
"first_name": "MALAK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-25",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"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 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 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.