Fairwz Shoubah

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401002793 Issued in MI

Practice address

18501 Rotunda Dr Ste 100
Dearborn, MI 48124-3891

Phone

(313) 996-1930

NPI assigned

Mar 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Beaumont Medical Group- Specialty Services

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1578072906
  NPD (past)
• Oakwood Healthcare Inc

  dba Corewell Health Retail Pharmacy Westland

  • Community/Retail Pharmacy
  • Westland, MI
  • NPI 1033128178
  NPD (past)

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1619502093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18501 ROTUNDA DR STE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243891",
            "telephone_number": "313-996-1930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9280 Pelham Road",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "48180",
            "country_code": "US",
            "telephone_number": "855-772-8847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19251 Mack Ave Ste M450",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Woods",
            "state": "MI",
            "postal_code": "482362893",
            "country_code": "US",
            "telephone_number": "313-343-1370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOUBAH",
        "first_name": "FAIRWZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401002793",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fshoubah3422290@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "18501 Rotunda Dr Ste 100",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481243891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Saba Y Shohatee
• Wafa Shohatee
• Ali Shohatti, RN
• Michelle Shoshiev, DO
• Olanrewaju Shotunde
• Korina Shoulders
• Lia Colleen Shreve, M.S., L.L.P.
• Ellian Shrime
• Linda M Shriver, MSW, ACSW
• Ali Adnan Shuayto, DO

• 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 Feb 13, 2026; 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.