Provider Demographics
NPI:1699334334
Name:ABU-OMARAH, SABRIN M
Entity type:Individual
Prefix:
First Name:SABRIN
Middle Name:M
Last Name:ABU-OMARAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SABRIN
Other - Middle Name:M
Other - Last Name:ABU-OMARAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1927 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-4011
Mailing Address - Country:US
Mailing Address - Phone:313-207-1462
Mailing Address - Fax:
Practice Address - Street 1:1927 LINDEN ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-4011
Practice Address - Country:US
Practice Address - Phone:313-207-1462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician