Gorgious Edwards, RBT

NPI #1992300297 in Leesburg, Florida

Provider Information

NPI Number: 1992300297
Entity Type: Individual
Name: Gorgious Edwards, RBT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Dec 3, 2020
Last Updated: Dec 3, 2020

Practice Location

Address: 1650 W MAIN ST STE 1
City: Leesburg
State: Florida
ZIP Code: 34748-2842
Phone: (352) 314-3760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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