Individual
REAGAN LEANNE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4778 OVERTON RD, BIRMINGHAM, AL 35210-3803
(205) 957-0294
(205) 957-0298
Mailing address
306 N KENSINGTON AVE, LA GRANGE PARK, IL 60526-1870
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-112380
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-112380
BACB CERTIFICATION FOR RBT
AL
Enumeration date
02/20/2020
Last updated
09/02/2020
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