Individual
JANAE NOELLE EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 SAINT ANDREWS LOOP STE D, PASCO, WA 99301-3386
(360) 470-1431
Mailing address
2715 SAINT ANDREWS LOOP STE D, PASCO, WA 99301-3386
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
07/11/2024
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