Ali Abuelhawa

Individual provider Active NPI Behavior Technician · Dearborn Heights, MI

NPI 1144055286 · NPPES record last updated Sep 6, 2024

Key facts

NPI
1144055286
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2100 Kinloch St
Dearborn Heights, MI 48127-3318
Phone
(313) 552-6630
NPI assigned
Sep 6, 2024
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Emagine Health Services LLC Past
since Sep 8, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2100 Kinloch St
Dearborn Heights, MI 48127-3318

Mailing address

6425 Schaefer Rd
Dearborn, MI 48126-1974
Phone (313) 552-6630

Other providers in Dearborn Heights, MI

All providers in Dearborn Heights, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.