Edwards, Jacob

Edwards, Jacob is an sole proprietor health care provider with primary practice located at 5501 Antique Rose Way , Riverbank CA 95367-9505. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Edwards, Jacob can be contacted via phone (209) 521-4791.

Contact Information

Primary practice address
5501 Antique Rose Way Riverbank CA 95367-9505
Phone: (209) 521-4791
Fax: (209) 521-4794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X California

Profile Details

NPI number 1124547427
LBN Legal business name Edwards, Jacob
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2017
Last updated Sep 18th, 2017 - about 7 years 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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