Individual
ANDREW EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
735 CARNEGIE DR STE 270, SAN BERNARDINO, CA 92408-3592
(909) 658-1060
Mailing address
735 CARNEGIE DR STE 270, SAN BERNARDINO, CA 92408-3592
(909) 658-1060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
08/25/2020
Last updated
05/14/2026
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