Healthcare Provider Details
I. General information
NPI: 1609791698
Provider Name (Legal Business Name): EMILY WEINBERG BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
58 CEDAR GREEN RD
STAUNTON VA
24401-5423
US
IV. Provider business mailing address
154 W WOLFE ST STE 101
HARRISONBURG VA
22802-3857
US
V. Phone/Fax
- Phone: 540-886-5806
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 0133005484 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: