Organization
ABA THERAPY & BEYOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CANDI EDWARDS BCBA, LBA (CO-OWNER)
(901) 207-1267
Entity
Organization
Contact information
Practice address
5115 COVINGTON WAY, SUITE 5, MEMPHIS, TN 38134-5619
(901) 207-1267
Mailing address
5115 COVINGTON WAY, MEMPHIS, TN 38134-5619
(901) 207-1267
(901) 284-0408
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033628995
—
TN
Enumeration date
10/30/2019
Last updated
10/30/2019
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