Individual
JEQUAN TORIK EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 WELLONS ST APT 114, SUFFOLK, VA 23434-5865
(757) 541-0540
Mailing address
408 WELLONS ST APT 114, SUFFOLK, VA 23434-5865
(757) 541-0540
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
A60624406
VA
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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