Active NPI
Kemarjah Daimere Conaway
- Behavior Technician
- Stafford, VA
National Provider Identifier
1013871987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1013871987
- Practice address
- 11 Hope Rd Ste 215
Stafford, VA 22554-7287 - Phone
- (540) 705-8995
- NPI assigned
- Dec 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 1013871987 | VA | Primary |
Addresses
Primary practice location
11 Hope Rd Ste 215
Stafford, VA 22554-7287
Mailing address
1500 S Douglas Rd # 230
Coral Gables, FL 33134-4108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1013871987 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1013871987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S DOUGLAS RD # 230",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 HOPE RD STE 215",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225547287",
"telephone_number": "540-705-8995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONAWAY",
"first_name": "KEMARJAH",
"middle_name": "DAIMERE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-15",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "VA",
"license": "1013871987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.