Lourdes Jeanine Edmonds
Individual provider Active NPI Behavior Technician · Deerfield BCH, FL
NPI 1003687310 · NPPES record last updated Jan 15, 2024
Key facts
- NPI
- 1003687310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 350 Fairway Dr
Deerfield BCH, FL 33441-1834 - Phone
- (877) 418-2978
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MA | Yes |
Addresses
Primary practice location
350 Fairway Dr
Deerfield BCH, FL 33441-1834
Mailing address
350 Fairway Dr
Deerfield BCH, FL 33441-1834
Phone (877) 418-2978
Other practice location 1
225 Cedar Hill St
Marlborough, MA 01752-5900
Phone (877) 418-2978
Other providers in Deerfield BCH, FL
- Ameka Crocker Dukes
- Miracle Rena Dunn
- Leshanda Duparl
- Aaliya Eastburn
- Patricia Ebarb
- Tiffany Escoffrey
- Anna Feldman
- Evelyn Fernandez
- Anne Hallett Fishwick
- Christine Alexandra Forde
All providers in Deerfield BCH, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.