Jacob Edwards, BCBA
NPI #1124547427 in Riverbank, California
Provider Information
- NPI Number
- 1124547427
- Entity Type
- Individual
- Name
- Jacob Edwards, BCBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- Sep 18, 2017
- Last Updated
- Sep 18, 2017
Practice Location
- Address
- 5501 ANTIQUE ROSE WAY
- City
- Riverbank
- State
- California
- ZIP Code
- 95367-9505
- Phone
- (209) 521-4791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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