Diaja Edwards

NPI #1104418862 in Jackson, Michigan

Provider Information

NPI Number: 1104418862
Entity Type: Individual
Name: Diaja Edwards
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 4, 2021
Last Updated: Feb 4, 2021

Practice Location

Address: 1220 W PARNALL RD
City: Jackson
State: Michigan
ZIP Code: 49201-7071
Phone: (517) 374-8066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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