Omar Elwasli, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2111 Golfside Rd
Ypsilanti, MI 48197-1145

Phone

(248) 846-8700

NPI assigned

Sep 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1083493076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46141 VILLAGE GREEN LN APT 214",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481113129",
            "telephone_number": "347-365-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 GOLFSIDE RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971145",
            "telephone_number": "248-846-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481042216",
            "country_code": "US",
            "telephone_number": "734-764-9466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELWASLI",
        "first_name": "OMAR",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-27",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Abigail Mary Elwart, PTA
• Blake Malcolm Ely, PA-C
• Roseline Opeyemi Emadamerho, FNP
• John Thomas Emerick, PA-C
• Heather Rae Emerson
• Peter Emiley, M.D.

• Behavior Analyst in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.