Provider Demographics
NPI:1447867767
Name:HAMADE-NEMER, SAJEDA
Entity type:Individual
Prefix:
First Name:SAJEDA
Middle Name:
Last Name:HAMADE-NEMER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22234 FORD RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2420
Mailing Address - Country:US
Mailing Address - Phone:313-590-2016
Mailing Address - Fax:
Practice Address - Street 1:22234 FORD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2420
Practice Address - Country:US
Practice Address - Phone:313-500-6707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1-20-43849103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1-20-43849OtherBCBA CERTIFICATE NUMBER