Organization Active NPI

Truetrust ABA Therapy LLC

  • Behavior Analyst
  • Dearborn, MI
National Provider Identifier
1417782780
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TRUETRUST ABA THERAPY LLC
Practice address
5220 Hartwell St
Dearborn, MI 48126-3310
Phone
(313) 721-3925
NPI assigned
Sep 5, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Nagiba Souhouba
Title
Manager
Phone
(313) 721-3925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

5220 Hartwell St
Dearborn, MI 48126-3310

Mailing address

5220 Hartwell St
Dearborn, MI 48126-3310
Phone (313) 721-3925

National Provider Directory

National Provider Directory

Locations

2868 Fort St
Lincoln Park, MI 48146

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1417782780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 HARTWELL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263310",
            "telephone_number": "313-721-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 HARTWELL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263310",
            "telephone_number": "313-721-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUETRUST ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "SOUHOUBA",
        "authorized_official_first_name": "NAGIBA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-721-3925"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.