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Samah Khatib , BCBA, LBA

Behavior Analyst β€’ Dearborn, MI

Active NPI 1750809190 Individual Practitioner Female Practitioner
Practice location in NPPES

2021 Monroe St
Dearborn, MI 481242926

Call 5172454778 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2021 Monroe St

Dearborn, MI 481242926

Telephone 5172454778
Fax 5176988223
Organization at the Same NPPES Address or Phone
Charles R. Slone, M.d., P.c. Facility NPI 1770889834

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

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: NPI first issued

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, β€œDoes 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Addresses are self-reported to NPPES and may be out of date.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 Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-09-14
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MI 7401001244

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 Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
NPI 1306337472

Doctor of Dental Surgery

Dr. Tawfiq Hassan , MD

Internal Medicine

NPI 1144290909

Doctor of Medicine (M.D.)

NPI 1275507733

Doctor of Medicine (M.D.)

Dr. Charles Slone , MD

Internal Medicine - Gastroenterology

NPI 1639149610

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events
πŸ“
Updated Practice Location September 14, 2021

Registered at 2021 MONROE ST, DEARBORN, MI 481242926 (Tel: 5172454778)

πŸ‘€
Provider Name / Credentials Updated September 14, 2021

Recorded as SAMAH KHATIB, BCBA, LBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2021

Behavior Technician

πŸ“
Updated Practice Location August 02, 2021

Registered at 714 E GRAND RIVER AVE, HOWELL, MI 488432490 (Tel: 5172454778)

πŸ“
Updated Business Mailing Address August 02, 2021

Registered at PO BOX 12279, LANSING, MI 489012279 (Tel: 5712454777)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2021

Behavior Analyst (license number reported to NPPES: MI 7401001244)

πŸ“
Updated Practice Location May 03, 2021

Registered at 7700 MIDDLEPOINTE ST, DEARBORN, MI 481261295 (Tel: 5172454777)

πŸ“
Updated Business Mailing Address May 03, 2021

Registered at 7700 MIDDLEPOINTE ST, DEARBORN, MI 481261295

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2021

Behavior Analyst (license number reported to NPPES: MI 1-20-44760)

βœ…
NPI Profile Active September 06, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 06, 2017

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803 (Tel: 2482990030)

πŸ“
Business Mailing Address (Initial Record) September 06, 2017

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803

πŸ‘€
Provider Name / Credentials (Initial Record) September 06, 2017

Recorded as SAMAH KHATIB

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2017

Behavior Technician

🟒
Initial NPI Registration & Enumeration September 06, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750809190
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2017
Last Update: September 14, 2021
Sole Proprietor: No

Mailing Address

Po Box 12279

Lansing, MI 489012279

Phone: 5712454777

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.