Active NPI
Amal Mohammed Tawil
- Behavior Technician
- Detroit, MI
National Provider Identifier
1932782059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1502 - Phone
- (888) 922-2843
- Fax
- (855) 568-2494
- NPI assigned
- May 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1502
Mailing address
18726 S Western Ave Ste 408
Gardena, CA 90248-3858
Phone (310) 856-0800
Other practice location 1
5451 Middlesex St
Dearborn, MI 48126-3108
Phone (313) 516-5417
Other practice location 2
18726 S Western Ave Ste 408
Gardena, CA 90248-3858
Phone (310) 856-0800
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1932782059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18726 S WESTERN AVE STE 408",
"city": "GARDENA",
"state": "CA",
"postal_code": "902483858",
"telephone_number": "310-856-0800",
"fax_number": "855-568-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 RENAISSANCE CTR STE 2600",
"city": "DETROIT",
"state": "MI",
"postal_code": "482431502",
"telephone_number": "888-922-2843",
"fax_number": "855-568-2494"
}
],
"practiceLocations": [
{
"address_1": "5451 Middlesex St",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481263108",
"country_code": "US",
"telephone_number": "313-516-5417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18726 S Western Ave Ste 408",
"address_purpose": "LOCATION",
"city": "Gardena",
"state": "CA",
"postal_code": "902483858",
"country_code": "US",
"telephone_number": "310-856-0800",
"fax_number": "855-568-2494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAWIL",
"first_name": "AMAL",
"middle_name": "MOHAMMED",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-05",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.