Provider Demographics
NPI:1679964092
Name:RAHMAN, FARIHA
Entity Type:Individual
Prefix:
First Name:FARIHA
Middle Name:
Last Name:RAHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 ROYAL OAK DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4398
Mailing Address - Country:US
Mailing Address - Phone:972-310-1528
Mailing Address - Fax:
Practice Address - Street 1:209 BILLINGS ST STE 410
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-2474
Practice Address - Country:US
Practice Address - Phone:817-592-5665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-06
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-14-00156103K00000X
TX1-23-68288103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst