Individual
EMMAH MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10304 EATON PL STE 100, FAIRFAX, VA 22030-2221
(510) 738-7709
(844) 333-0432
Mailing address
10304 EATON PL STE 100, FAIRFAX, VA 22030-2221
(510) 738-7709
(844) 333-0432
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-525426
VA
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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