Jaela Edmonds

NPI #1285400911 in Belcamp, Maryland

Provider Information

NPI Number: 1285400911
Entity Type: Individual
Name: Jaela Edmonds
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 4, 2023
Last Updated: Dec 4, 2023

Practice Location

Address: 1200 CREAMERY LN
City: Belcamp
State: Maryland
ZIP Code: 21017-1499
Phone: (443) 300-6362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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