Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619502093 Individual Practitioner Female Practitioner

Fairwz Shoubah

Behavior Analyst • Dearborn, MI

Professional Overview & Biography Verified Profile Summary

Fairwz Shoubah is a registered healthcare professional specializing in Behavior Analyst in Dearborn, MI. Practice services are available at 18501 ROTUNDA DR STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18501 Rotunda Dr Ste 100

Dearborn, MI 481243891

Telephone 3139961930
Associated Practice Facility / Clinic
🏢 Botsford General Hospital Facility NPI 1114935566

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Dearborn, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
127 Specialists

Practicing in Dearborn, MI (3207 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-13
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MI 7401002793

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.

Secondary Practice Locations

19251 Mack Ave Ste M450

Grosse Pointe Woods, MI 482362893

Phone: 3133431370

9280 Pelham Road

Taylor, MI 48180

Phone: 8557728847

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Meredith Friend Delcampo

Speech-Language Pathologist

NPI 1053004192
Samantha Bailey-Crow

Speech-Language Pathologist

NPI 1053700609
Michelle Repp

Behavior Analyst

NPI 1083577928
Madelyn Huber

Speech-Language Pathologist

NPI 1124744982
NPI 1184200487

Board Certified Behavior Analyst, Licensed Behavior Analyst

NPI 1396415378

Master of Science, Board Certified Behavior Analyst, Licensed Behavior Analyst

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location February 13, 2026

Registered at 18501 ROTUNDA DR STE 100, DEARBORN, MI 481243891 (Tel: 3139961930)

📍
Updated Business Mailing Address February 13, 2026

Registered at 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 480333849

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2026

Behavior Analyst (License #7401002793 in MI)

📍
Updated Practice Location February 26, 2024

Registered at 9280 PELHAM ROAD, TAYLOR, MI 48180 (Tel: 8557728847)

📍
Updated Business Mailing Address February 26, 2024

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345312 (Tel: 8772991655)

📍
Updated Practice Location August 07, 2023

Registered at 19251 MACK AVE STE M450, GROSSE POINTE WOODS, MI 482362893 (Tel: 3133431370)

📍
Updated Business Mailing Address August 07, 2023

Registered at 19251 MACK AVE STE M450, GROSSE POINTE WOODS, MI 482362893 (Tel: 3133431370)

📍
Updated Practice Location February 12, 2022

Registered at 7375 WOODWARD AVE STE 2800, DETROIT, MI 482023157 (Tel: 8889222843)

📍
Updated Business Mailing Address February 12, 2022

Registered at 7375 WOODWARD AVE STE 2800, DETROIT, MI 482023157 (Tel: 8889222843)

NPI Profile Active March 06, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2020

Registered at 5877 LIVERNOIS RD, TROY, MI 480983100 (Tel: 7345456335)

📍
Updated Business Mailing Address March 06, 2020

Registered at 5877 LIVERNOIS RD, TROY, MI 480983100

👤
Provider Name / Credentials Updated March 06, 2020

Recorded as FAIRWZ SHOUBAH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2020

Behavior Technician

🟢
Initial NPI Registration & Enumeration March 06, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619502093
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2020
Last Update: February 13, 2026
Sole Proprietor: Yes

Mailing Address

26901 Beaumont Blvd Ste 3d

Southfield, MI 480333849

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.