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NPI Code Detail

MEDICARE: ROWAN ALHENEYNIE

MEDICARE:   ROWAN  ALHENEYNIE
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
1106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1619831575
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROWAN ALHENEYNIE
Provider Business Mailing Address
First Line : 6309 HORGER ST
Second Line :
City : DEARBORN
State : MI
Zip : 48126-2226
Country : US
Telephone Number : 313-888-7336
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 : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ ROWAN ALHENEYNIE ” Practice Location

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