Basma Elkaliouby, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401002090 Issued in MI

Practice address

6888 W Maple Rd
West Bloomfield, MI 48322-3032

Phone

(248) 846-8703

NPI assigned

Aug 21, 2023

Sex

Female

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1245014430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6884 BROOK HOLLOW CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483225206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223032",
            "telephone_number": "248-846-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKALIOUBY",
        "first_name": "BASMA",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401002090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolette Kristin Elia, CRNA
• Clara Elinger, APRN, BC
• Elite Dental Care PLLC
• Elite Medical Group PC
• Elizabeth C Smith MD PC
• Nada Elkheshen, RBT
• Ellen Stone PC
• Rachel Ellentuck, LMSW
• Angel Ellerbee
• Burton Ellis

• Behavior Analyst in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.