MEDICARE: ZEINAB FARAJ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	247200000X	Other Technician
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1164922738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZEINAB FARAJ

Provider Business Mailing Address
First Line	:	6306 SCHAEFER RD
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-2285
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23500 PARK ST # 3B
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-2598
Country	:	US
Telephone Number	:	313-694-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2018
Last Update Date	:	05/29/2023

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Directions to “ ZEINAB FARAJ ” Practice Location

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