CONVERGE BEHAVIORAL SERVICES, LLC (NPI# 1386299071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386299071 |
| Entity Type | Organization |
| Organization Name | CONVERGE BEHAVIORAL SERVICES, LLC |
| Practice Address |
11507 Hearthstone Ct Reston VA 20191-4403 |
| Practice Telephone | 3042409023 |
| Mailing Telephone | 3042409023 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | MS. KIRSTEN BADE (PROGRAM CONSULTANT) |
| Authorized Official Telephone | 3042409023 |
| Authorized Official Credential | BCABA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
11507 HEARTHSTONE CT |
| City | RESTON |
| State | VA |
| Zip Code | 20191-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170064 | Yuly Angelica Willard | Assistant Behavior Analyst | 300 Arboretum Pl, Suite 500, Richmond, VA 23236 | 2020-09-28 |
| 1730707340 | Indara Carroll | Assistant Behavior Analyst | 817 Castile Pl, Henrico, VA 23238-5534 | 2020-07-09 |
| 1912523747 | Ariel Nickole Weddle | Assistant Behavior Analyst | 1525 Technology Dr, Chesapeake, VA 23320-5974 | 2020-06-17 |
| 1225663701 | Brittany Kersey-adams | Assistant Behavior Analyst | 1329 Alum Spring Rd, Fredericksburg, VA 22401-8011 | 2020-03-05 |
| 1609437078 | Robert Brainard James Jr. | Assistant Behavior Analyst | 21786 Green Stable Sq Apt 212, Ashburn, VA 20147-6777 | 2019-06-26 |
| 1932763117 | Huafeng Wang | Assistant Behavior Analyst | 10135 Yorktown Dr, Great Falls, VA 22066-4208 | 2019-04-23 |
| 1285192195 | Alliance Aba, LLC | Assistant Behavior Analyst | 3330 Bourbon St Ste 126, Fredericksburg, VA 22408-7334 | 2019-03-10 |
| 1720543085 | Rolando A Zelada I | Assistant Behavior Analyst | 406 N Argonne Ave, Sterling, VA 20164-3003 | 2019-01-31 |
| 1659841831 | Impact Behavior Centers LLC | Assistant Behavior Analyst | 108 W Greenway Blvd, Falls Church, VA 22046-4005 | 2018-11-29 |
| 1265907463 | Lauren Adelle Rowland | Assistant Behavior Analyst | 36 Jenkins Ridge Rd, Cartersville, VA 23027-9700 | 2018-10-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CONVERGE BEHAVIORAL SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.