Individual provider Active NPI

Eman Kamel Hamdan, BCBA

  • Behavior Analyst
  • Dearborn Heights, MI
National Provider Identifier
1740733989
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-34671
Practice address
27247 Kingswood Dr
Dearborn Heights, MI 48127-3361
Phone
(313) 645-3271
NPI assigned
Jul 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-34671 Primary

Addresses

Primary practice location

27247 Kingswood Dr
Dearborn Heights, MI 48127-3361

Mailing address

43280 Keystone LN
Canton, MI 48187-3471
Phone (313) 645-3271

Other practice location 1

27221 Rochelle St
Dearborn Heights, MI 48127-3692
Phone (313) 645-3271

Other identifiers 2

IdentifierTypeStateIssuer
7401000787OtherMIDEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF PROFESSIONAL LICENSING
1-19-34671OtherBEHAVIOR ANALYST CERTIFICATION BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL catalyst

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Growth LLC Behavior Analyst PastSince Nov 10, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1740733989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43280 KEYSTONE LN",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873471",
            "telephone_number": "313-645-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27247 KINGSWOOD DR",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273361",
            "telephone_number": "313-645-3271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27221 Rochelle St",
            "address_purpose": "LOCATION",
            "city": "Dearborn Heights",
            "state": "MI",
            "postal_code": "481273692",
            "country_code": "US",
            "telephone_number": "313-645-3271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMDAN",
        "first_name": "EMAN",
        "middle_name": "KAMEL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-23",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-34671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF PROFESSIONAL LICENSING",
            "identifier": "7401000787",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-19-34671",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "catalyst",
            "affiliation": "N",
            "address_1": "27247 Kingswood Dr",
            "city": "Dearborn Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481273361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.