Emma Lee Converse, RBT
Behavior Technician in Nokesville, VA. Individual provider (NPI-1).
NPI number1013662832
StatusActive
Last updated in NPPESFeb 21, 2022
Details
- NPI
- 1013662832
- Entity type
- Individual (NPI-1)
- Name
- Emma Lee Converse
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2022
- Certification date
- Feb 21, 2022
- Last updated
- Feb 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-22-204233 | VA | Yes |
Practice location
13616 Fitzwater DrNokesville, VA 20181-2015
Phone 703-200-7208
Mailing address
7771 Ashton AveManassas, VA 20109-2879
Phone 703-492-2628
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