Healthcare Provider Details

I. General information

NPI: 1225424484
Provider Name (Legal Business Name): MICHELLE ZEMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2015
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10565 FAIRFAX BLVD STE 300
FAIRFAX VA
22030-3104
US

IV. Provider business mailing address

754 NIGHT OWL CT
WINTER SPRINGS FL
32708-5139
US

V. Phone/Fax

Practice location:
  • Phone: 703-218-6599
  • Fax: 703-218-2012
Mailing address:
  • Phone: 407-919-3629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: