Individual
HOLLY CONVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 QUINCE ORCHARD ROAD, SUITE 205, GAITHERSBURG, MD 20878
(855) 832-6727
Mailing address
12097 PINE ST, FELTON, PA 17322-8403
(717) 825-9658
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA2073
MD
106S00000X
Behavior Technician
RBT-20-137746
PA
Other
Enumeration date
10/22/2020
Last updated
02/04/2026
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