Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Azadikhah

Individual provider Behavior Technician · NPI 1346089406

Tara Azadikhah is a Behavior Technician in Manassas, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2024

Practice location Address checks out

10851 Gambril Dr Apt 14
Manassas, VA 20109-6577
Phone: (703) 789-3701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 24336135 (VA)

Record details

NPI number1346089406
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address10851 Gambril Dr Apt 14, Manassas, VA 20109-6577

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