Emily Jane Bankson
Behavior Technician in Springfield, VA. Individual provider (NPI-1).
NPI number1558094565
StatusActive
Last updated in NPPESJul 7, 2022
Details
- NPI
- 1558094565
- Entity type
- Individual (NPI-1)
- Name
- Emily Jane Bankson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2022
- Certification date
- Jul 7, 2022
- Last updated
- Jul 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-22-223083 | VA | Yes |
Practice location
6216 Old Keene Mill CtSpringfield, VA 22152-2323
Phone 571-297-4308
Mailing address
4424 Cortez DrFairfax, VA 22030-5308
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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