Organization
CONVERGE BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIRSTEN BADE BCABA (PROGRAM CONSULTANT)
(304) 240-9023
Entity
Organization
Contact information
Practice address
11507 HEARTHSTONE CT, RESTON, VA 20191-4403
(304) 240-9023
Mailing address
11507 HEARTHSTONE CT, RESTON, VA 20191-4403
(304) 240-9023
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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