1225526551 NPI number — MR. ZACHARY ZIKI HAND MS, BCBA

Table of content: MR. ZACHARY ZIKI HAND MS, BCBA (NPI 1225526551)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225526551 NPI number — MR. ZACHARY ZIKI HAND MS, BCBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAND
Provider First Name:
ZACHARY
Provider Middle Name:
ZIKI
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MS, BCBA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225526551
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/09/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3000 MONTROSE AVE UNIT B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23222-2510
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-814-9746
Provider Business Mailing Address Fax Number:
850-665-0123

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5951 DUGOUT TER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MECHANICSVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23111-4570
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-201-2389
Provider Business Practice Location Address Fax Number:
855-224-4326
Provider Enumeration Date:
04/23/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103K00000X , with the licence number: 4174 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 022049700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com