Mohannad Alhusaini

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

22249215 Issued in TN

Practice address

4075 Park Ave
Memphis, TN 38111-7400

Phone

(901) 584-8281

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 2023By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1235833369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 KATE BOND RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381335107",
            "telephone_number": "619-949-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 PARK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381117400",
            "telephone_number": "901-584-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHUSAINI",
        "first_name": "MOHANNAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "22249215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Wheeler Alexandrov, PHD, AGACNP-BC
• Rokie Humu Alghali
• Katerina Alharir
• Inas Alhasan
• Majid Mohamed Alhazmi, M.D.
• Famo Ali
• Jeanelle Sonya Ali, PHD
• Kashif Ali
• Khatidja S Ali
• Mona Ali

• Behavior Technician in Memphis, TN
• Providers in Memphis, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.