Individual provider Active NPI

Mohanad Zawahra

  • Behavior Technician
  • Dearborn, MI
National Provider Identifier
1174193692
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
15001 Michigan Ave Ste 100
Dearborn, MI 48126-6600
Phone
(313) 757-7060
NPI assigned
Jun 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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 Primary

Addresses

Primary practice location

15001 Michigan Ave Ste 100
Dearborn, MI 48126-6600

Mailing address

5206 Steadman St
Dearborn, MI 48126-3089
Phone (313) 415-4616

Other practice location 1

1360 Porter St Lowr 15001
Dearborn, MI 48124-2890
Phone (313) 689-5188

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mzawahra@chitterchatterpc.com Direct Chitter Chatter PC

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1174193692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 STEADMAN ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263089",
            "telephone_number": "313-415-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 MICHIGAN AVE STE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481266600",
            "telephone_number": "313-757-7060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 Porter St Lowr 15001",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242890",
            "country_code": "US",
            "telephone_number": "313-689-5188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAWAHRA",
        "first_name": "MOHANAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mzawahra@chitterchatterpc.com",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Chitter Chatter PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15001 Michigan Ave Ste 100",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481266600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.