Edwards, Immanuel Trey

Edwards, Immanuel Trey is an individual health care provider with primary practice located at 1110 13Th St Unit D , Columbus GA 31901-2246. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is his primary health care specialty. Edwards, Immanuel Trey can be contacted via phone (706) 254-9342.

Contact Information

Primary practice address
1110 13Th St Unit D Columbus GA 31901-2246
Phone: (706) 254-9342
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-24-14986 Georgia

Profile Details

NPI number 1669126553
LBN Legal business name Edwards, Immanuel Trey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2022
Last updated Feb 19th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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