Individual
ELIZABETH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1595 PAXON ST SE, ATLANTA, GA 30317-1925
(858) 382-0284
Mailing address
1595 PAXON ST SE, ATLANTA, GA 30317-1925
(858) 382-0284
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-70256
GA
Other
Enumeration date
02/05/2021
Last updated
11/19/2025
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