Provider Demographics
NPI:1659133999
Name:ALEMKENG, ATEMKENG JENEVIE
Entity Type:Individual
Prefix:
First Name:ATEMKENG
Middle Name:JENEVIE
Last Name:ALEMKENG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 KASSY LN
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-6577
Mailing Address - Country:US
Mailing Address - Phone:540-681-7276
Mailing Address - Fax:
Practice Address - Street 1:22 KASSY LN
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-6577
Practice Address - Country:US
Practice Address - Phone:540-681-7276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-24-323288106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician