Fatima Alkassir Othman, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401001215 Issued in MI

Practice address

39555 Orchard Hill PL Ste 600
Novi, MI 48375-5381

Phone

(248) 599-1582

Fax

(855) 568-2494

NPI assigned

Oct 23, 2020

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

Other names 1

• Fatima Alkassir Former name

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1255930905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18726 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483813",
            "telephone_number": "310-856-0800",
            "fax_number": "855-568-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39555 ORCHARD HILL PL STE 600",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755381",
            "telephone_number": "248-599-1582",
            "fax_number": "855-568-2494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4164 Westover Dr",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483232867",
            "country_code": "US",
            "telephone_number": "248-891-6282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTHMAN",
        "first_name": "FATIMA",
        "middle_name": "ALKASSIR",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATIMA",
            "last_name": "ALKASSIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Sarah Ovard
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• Brianna Owairu

• Behavior Analyst in Novi, MI
• Providers in Novi, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.