Individual provider Active NPI

Lena Khalil Hezam Alhamidi

  • Behavior Technician
  • Detroit, MI
National Provider Identifier
1063323566
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
A900000760733 Issued in MI
Practice address
4936 Ogden St
Detroit, MI 48210-2069
Phone
(313) 406-4586
Fax
(313) 447-3256
NPI assigned
Sep 14, 2026
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X A900000760733 MI Primary

Addresses

Primary practice location

4936 Ogden St
Detroit, MI 48210-2069

Mailing address

4936 Ogden St
Detroit, MI 48210-2069
Phone (313) 406-4586

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": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1063323566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 OGDEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102069",
            "telephone_number": "313-406-4586",
            "fax_number": "313-447-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 OGDEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102069",
            "telephone_number": "313-406-4586",
            "fax_number": "313-447-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHAMIDI",
        "first_name": "LENA",
        "middle_name": "KHALIL HEZAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "A900000760733",
            "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 Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.