Emily McGovern Ackerman

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB641221 Issued in VA

Practice address

1651 Old Meadow Rd
MC Lean, VA 22102-4311

Phone

(800) 828-5659

NPI assigned

Nov 6, 2020

Last updated

Mar 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1962003814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 CAPSTAN DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031968",
            "telephone_number": "814-528-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 OLD MEADOW RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024311",
            "telephone_number": "800-828-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "EMILY",
        "middle_name": "MCGOVERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "BACB641221",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khawla Abuaqel
• Salma Elkadi Abugideiri, LPC
• Mona Ezzat Abuhamda, MONA ABUHAMDA
• Zviadi Aburjania, MD
• Jessica Lynn Acevedo, RBT
• Karla Addess, RDHMS
• Adebunmi O Adeyiga, MD
• Anusha Adhikari
• Mehdi S Adili, DDS
• Adina Shapiro, LCSW

• Behavior Analyst in McLean, VA
• Providers in McLean, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.