Maren Rachel Konrady

Individual provider Active NPI Behavior Technician · Middletown, VA

NPI 1780205336 · NPPES record last updated May 5, 2020

Key facts

NPI
1780205336
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
200 Maslin Valley LN
Middletown, VA 22645-1940
Phone
(540) 532-5627
NPI assigned
May 5, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

200 Maslin Valley LN
Middletown, VA 22645-1940

Mailing address

200 Maslin Valley LN
Middletown, VA 22645-1940
Phone (540) 532-5627

Other providers in Middletown, VA

All providers in Middletown, VA · Behavior Technician in Virginia

Sources for this page

Verify at the official NPI Registry.