Provider Demographics
NPI:1003799156
Name:BAKER-VAHDANI, ROYA NAHDINE I (AA)
Entity type:Individual
Prefix:MS
First Name:ROYA
Middle Name:NAHDINE
Last Name:BAKER-VAHDANI
Suffix:I
Gender:F
Credentials:AA
Other - Prefix:MS
Other - First Name:ROYA
Other - Middle Name:NAHDINE
Other - Last Name:BAKER-VAHDANI
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:AA
Mailing Address - Street 1:2006 BREMO RD STE 102A
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2438
Mailing Address - Country:US
Mailing Address - Phone:804-351-7056
Mailing Address - Fax:
Practice Address - Street 1:2006 BREMO RD STE 102A
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2438
Practice Address - Country:US
Practice Address - Phone:804-351-7056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician