Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fairwz Shoubah

Individual provider Behavior Analyst · NPI 1619502093

Fairwz Shoubah is a Behavior Analyst in Dearborn, Michigan. Practices as a sole proprietor and works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

18501 Rotunda Dr Ste 100
Dearborn, MI 48124-3891
Phone: (313) 996-1930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 19251 Mack Ave Ste M450, Grosse Pointe Woods, MI 48236-2893 — (313) 343-1370
  • 9280 Pelham Road, Taylor, MI 48180 — (855) 772-8847

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 7401002793 (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1619502093
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 6, 2020
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

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