Shaima Altayib, MS, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401001657 Issued in NU

Practice address

1360 Porter St
Dearborn, MI 48124-2890

Phone

(313) 689-5188

NPI assigned

Jun 18, 2018

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Hope Autism Center LLC

  • Behavior Analyst
  • Dearborn, MI
  • NPI 1649994419
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1417441114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 OAKMAN BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 PORTER ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242890",
            "telephone_number": "313-689-5188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Greenfield Road",
            "address_2": "Ste 300 - #3039",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "48120",
            "country_code": "US",
            "telephone_number": "734-353-8789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTAYIB",
        "first_name": "SHAIMA",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "7401001657",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zainab Altalaqani, PHYSICIAN ASSISTANT
• Ahlam Altamimi I
• Batool Altamimi
• Haelah Altarab
• Shahd Nabil Altashi
• Zahraa Altimemy
• Haya Altown, PA
• Todd Jeffrey Altstetter, DPT
• Hadil Gamal Alturki, DDS
• Heem Altweej

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.