Jacob Edwards, BCBA

Behavior Analyst · Riverbank, CA

Individual Active NPI

NPI number 1124547427

Practice location

5501 Antique Rose Way
Riverbank, CA 95367-9505
Phone
(209) 521-4791
Fax
(209) 521-4794

Open in Google Maps

NPI record

NPI
1124547427
Entity type
Individual (Type 1)
Enumeration date
September 18, 2017
Last updated
September 18, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — CA

Mailing address

3425 Coffee Rd Ste C2
Modesto, CA 95355-1582
Phone
(209) 521-4791
Fax
(209) 521-4794

About Jacob Edwards

Jacob Edwards, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 5501 Antique Rose Way, Riverbank, CA 95367-9505. The NPI number 1124547427 was assigned on September 18, 2017 and the record was last updated on September 18, 2017.

Frequently asked questions

What is the NPI number of Jacob Edwards, BCBA?

The NPI number is 1124547427.

What is the phone number of Jacob Edwards?

The phone number listed for the practice location is (209) 521-4791.

Where is Jacob Edwards located?

5501 Antique Rose Way, Riverbank, CA 95367-9505.

What is the taxonomy code for Jacob Edwards?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Behavior Analyst providers in Riverbank

All Behavior Analyst providers in Riverbank, CA →