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Individual

NATHAN GARY EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA, LBA

Contact information

Practice address
2 COMPUTER DR W STE 210, ALBANY, NY 12205-1622
(855) 295-3276
(888) 588-2752
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
(818) 241-6780
(888) 588-2752

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003214
NY

Other

Enumeration date
01/25/2024
Last updated
01/25/2024
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