Jazelle Farhat

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

26327 Tennant St
Dearborn Heights, MI 48127-3704

Phone

(313) 971-4592

NPI assigned

Nov 28, 2024

Last updated

Nov 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732752000000",
    "number": "1790501369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26327 TENNANT ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273704",
            "telephone_number": "313-971-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26327 TENNANT ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273704",
            "telephone_number": "313-971-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHAT",
        "first_name": "JAZELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.