NPI 1962003814 · live from the CMS NPI Registry
Emily Mcgovern Ackerman
Behavior Analyst in Mc Lean, VA. National Provider Identifier 1962003814, active.
NPI record
| NPI | 1962003814 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1651 Old Meadow Rd, Mc Lean, VA 22102 |
| Practice phone | 800-828-5659 |
| Mailing address | 6803 Capstan Dr, Annandale, VA 22003 |
| Enumerated | November 6, 2020 |
| Last updated | March 19, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | BACB641221 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.