Individual
LAKEN A EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4988 FAIRFIELD CIR S, MEMPHIS, TN 38117-4210
(901) 827-1115
(901) 370-3289
Mailing address
7010 DASHWOOD DR, MEMPHIS, TN 38119-8504
(601) 218-7454
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74078
TN
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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