Hassan Khaled Abdallah
Individual provider Active NPI Behavior Technician · Dearborn, MI
NPI 1699401299 · NPPES record last updated Jul 26, 2022
Key facts
- NPI
- 1699401299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1360 Porter St
Dearborn, MI 48124-2890 - Phone
- (313) 689-5188
- NPI assigned
- Jul 26, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1360 Porter St
Dearborn, MI 48124-2890
Mailing address
1360 Porter St
Dearborn, MI 48124-2890
Phone (313) 689-5188
Other providers in Dearborn, MI
- Belal Fouad Abdallah
- Dena Abdallah
- Dunia Abdallah
- Fatima Abdallah
- Fatmeh Abdallah
- Malak Abdallah
- Marriam Abdallah
- Mossab Abdallah
- Wafaa F Abdallah
- Zeinab M Abdallah
All providers in Dearborn, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.