Organization
EMAGINE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMAH KHATIB (BCBA)
(313) 552-6630
Entity
Organization
Contact information
Practice address
6425 SCHAEFER RD, DEARBORN, MI 48126-1974
(888) 693-6244
Mailing address
6425 SCHAEFER RD, DEARBORN, MI 48126-1974
(888) 693-6244
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/17/2022
Last updated
01/23/2026
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