Provider Demographics
NPI:1609769090
Name:GOBAH, ARWA HASSAN
Entity type:Individual
Prefix:
First Name:ARWA
Middle Name:HASSAN
Last Name:GOBAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7055 BINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1804
Mailing Address - Country:US
Mailing Address - Phone:313-652-8025
Mailing Address - Fax:
Practice Address - Street 1:7055 BINGHAM ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1804
Practice Address - Country:US
Practice Address - Phone:313-652-8025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician