Healthcare Provider Details

I. General information

NPI: 1881500551
Provider Name (Legal Business Name): ZAHRA RIKAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 DAISY REID AVE
WOODBRIDGE VA
22192-5598
US

IV. Provider business mailing address

16202 EDGEWOOD DR
DUMFRIES VA
22025-1761
US

V. Phone/Fax

Practice location:
  • Phone: 484-965-9966
  • Fax:
Mailing address:
  • Phone:
  • 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: