Provider Demographics
NPI:1255185815
Name:RASHIDIAN, NIKU
Entity type:Individual
Prefix:MISS
First Name:NIKU
Middle Name:
Last Name:RASHIDIAN
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 1:525 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-3922
Mailing Address - Country:US
Mailing Address - Phone:424-303-3490
Mailing Address - Fax:
Practice Address - Street 1:525 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-3922
Practice Address - Country:US
Practice Address - Phone:424-303-3490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician