Samah Khatib, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401001244 Issued in MI

Practice address

2021 Monroe St
Dearborn, MI 48124-2926

Phone

(517) 245-4778

Fax

(517) 698-8223

NPI assigned

Sep 6, 2017

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

State licenses

Practice roles

Locations

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.

• Emagine Health Services LLC

  • Occupational Therapist
  • Dearborn, MI
  • NPI 1497604417
  NPD Authorized official
• Emagine Health Services LLC

  • Behavior Analyst
  • Dearborn, MI
  • NPI 1518685460
  NPD Authorized official
• Advance ABA , LLC

  • Community/Behavioral Health Agency
  • Dearborn, MI
  • NPI 1548814551
  NPD
• Advance ABA , LLC

  • Speech-Language Pathologist
  • Dearborn, MI
  • NPI 1679300487
  NPD

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1750809190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12279",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489012279",
            "telephone_number": "571-245-4777",
            "fax_number": "517-698-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242926",
            "telephone_number": "517-245-4778",
            "fax_number": "517-698-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATIB",
        "first_name": "SAMAH",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sama Khasrachi
• Ali H Khater, LLMSW
• Kamilia Khatib-Shahidi
• Assma Khatib, LPC
• Basel Khatib, M.D.
• Kenda I Khattab
• Rolla Khattab
• Adnan A. Khazaal, D.D.S.
• Huda I. Khazendar, MA
• Samer Kheirbek, M.D.

• 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 Sep 14, 2021; 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.