Jinan Abbas
Individual provider Active NPI Behavior Technician · Dearborn, MI
NPI 1194699728 · NPPES record last updated Oct 6, 2025
Key facts
- NPI
- 1194699728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 19853 Outer Dr
Dearborn, MI 48124-2066 - Phone
- (313) 406-5056
- NPI assigned
- Oct 6, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
19853 Outer Dr
Dearborn, MI 48124-2066
Mailing address
19853 Outer Dr
Dearborn, MI 48124-2066
Phone (313) 406-5056
Other providers in Dearborn, MI
- Rania Abazeed
- Ali Abbas
- Farwa Abbas
- Fatima Abbas
- Fatme Abbas
- Joanne Abbas
- Malak M. Abbas
- Manolia M Abbas
- Natalie Nabih Abbas
- Omar Jehad Abbas
All providers in Dearborn, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.