Individual provider Active NPI

Teeba Alaa Bilal I

  • Behavior Technician
  • Southfield, MI
National Provider Identifier
1275413775
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
900000634651 Issued in MI
Practice address
20700 Civic Center Dr
Southfield, MI 48076-4140
Phone
(800) 385-1035
Fax
(800) 385-1035
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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 900000634651 MI Primary

Addresses

Primary practice location

20700 Civic Center Dr
Southfield, MI 48076-4140

Mailing address

6335 Hartwell St
Dearborn, MI 48126-2272
Phone (734) 273-2640

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

State licenses

LicenseStateTypeSpecialty
900000634651MIMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1275413775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 HARTWELL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262272",
            "telephone_number": "734-273-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 CIVIC CENTER DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764140",
            "telephone_number": "800-385-1035",
            "fax_number": "800-385-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILAL",
        "first_name": "TEEBA",
        "middle_name": "ALAA",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "900000634651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.