Edwards, Reagan Leanne

Edwards, Reagan Leanne is an individual health care provider with primary practice located at 4778 Overton Rd , Birmingham AL 35210-3803. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Edwards, Reagan Leanne can be contacted via phone (205) 957-0294.

Contact Information

Primary practice address
4778 Overton Rd Birmingham AL 35210-3803
Phone: (205) 957-0294
Fax: (205) 957-0298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-112380 Alabama

Profile Details

NPI number 1073146775
LBN Legal business name Edwards, Reagan Leanne
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2020
Last updated Sep 2nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073146775 NPPES
Alabama Other RBT-20-112380 BACB CERTIFICATION FOR RBT

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