Individual
ERICAH ALEECE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W KORTSEN RD, CASA GRANDE, AZ 85122-5910
(520) 876-3657
Mailing address
220 W KORTSEN RD, CASA GRANDE, AZ 85122-5910
(520) 876-3657
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10230819
AZ
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
05/04/2026
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