| Converge Behavioral Services, Llc | |
|
11507 Hearthstone Ct Reston VA 20191-4403 | |
| (304) 240-9023 | |
| Not Available |
| Full Name | Converge Behavioral Services, Llc |
|---|---|
| Speciality | Assistant Behavior Analyst |
| Location | 11507 Hearthstone Ct, Reston, Virginia |
| Authorized Official Name and Position | Kirsten Bade (PROGRAM CONSULTANT) |
| Authorized Official Contact | 3042409023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Converge Behavioral Services, Llc 11507 Hearthstone Ct Reston VA 20191-4403 Ph: (304) 240-9023 | Converge Behavioral Services, Llc 11507 Hearthstone Ct Reston VA 20191-4403 Ph: (304) 240-9023 |
| NPI Number | 1386299071 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 08/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386299071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Primary |
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