The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dearborn and Michigan

127 active clinicians are listed under Behavior Analyst with a practice address in Dearborn, MI (3,195 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dearborn

0% of these 127 clinicians have the CMS telehealth indicator.

0% of these 127 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-07

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES AZ BEH-001998

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MI 7401001365

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events

📍

Updated Practice Location July 07, 2026

Registered at 6452 SCHAEFER RD, DEARBORN, MI 481262213 (Tel: 3137591507)

📍

Updated Business Mailing Address July 07, 2026

Registered at 8730 RANDY DR, WESTLAND, MI 481851758 (Tel: 3137591507)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2026

Behavior Analyst (license number reported to NPPES: MI 7401001365)

📍

Updated Practice Location April 19, 2021

Registered at 23527 FORD RD, DEARBORN, MI 481281260 (Tel: 3136330364)

📍

Updated Business Mailing Address April 19, 2021

Registered at 41774 W VILLAGE GREEN BLVD APT 206, CANTON, MI 481873879 (Tel: 3137591507)

📍

Updated Practice Location July 23, 2019

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334 (Tel: 2482990030)

📍

Updated Business Mailing Address July 23, 2019

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345326 (Tel: 2482990030)

📍

Updated Practice Location August 30, 2018

Registered at 229 N SHELDON RD, PLYMOUTH, MI 48170 (Tel: 3132784601)

📍

Updated Business Mailing Address August 30, 2018

Registered at 229 N SHELDON RD, PLYMOUTH, MI 481701524 (Tel: 3132784601)

✅

NPI Profile Active September 07, 2017

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) September 07, 2017

Registered at 23400 MICHIGAN AVE, SUITE P40, DEARBORN, MI 48124 (Tel: 3136895188)

📍

Business Mailing Address (Initial Record) September 07, 2017

Registered at 23400 MICHIGAN AVE STE P40, DEARBORN, MI 481241928

👤

Provider Name / Credentials (Initial Record) September 07, 2017

Recorded as INTITHAR ALISSAWI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2017

Technician

🟢

Initial NPI Registration & Enumeration September 07, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194243493

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 07, 2017

Last Update: July 07, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

8730 Randy Dr

Westland, MI 481851758

Phone: 3137591507

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.