Individual
DANIELLE KONOPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(800) 828-5659
Mailing address
147 N GROVE ST, BERLIN, NJ 08009-9653
(609) 678-6467
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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