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Individual

KIMBERLY EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
4164 CAPTAINS CORRIDOR, GREENBACKVILLE, VA 23356-2915
(609) 954-0124
Mailing address
4164 CAPTAINS CORRIDOR, GREENBACKVILLE, VA 23356-2915
(609) 954-0124

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004623
VA
103K00000X
Behavior Analyst
Primary
1-14-9915
NJ
103K00000X
Behavior Analyst
15BC00015800
NJ

Other

Enumeration date
07/10/2015
Last updated
07/06/2026
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