Reagan Leanne Edwards, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-112380 Issued in AL

Practice address

4778 Overton Rd
Birmingham, AL 35210-3803

Phone

(205) 957-0294

Fax

(205) 957-0298

NPI assigned

Feb 20, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mitchell'S Place, Inc.

  • Behavior Analyst
  • Birmingham, AL
  • NPI 1235263419
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1073146775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N KENSINGTON AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4778 OVERTON RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352103803",
            "telephone_number": "205-957-0294",
            "fax_number": "205-957-0298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Heywood St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368323570",
            "country_code": "US",
            "telephone_number": "205-490-3931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "REAGAN",
        "middle_name": "LEANNE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "RBT-20-112380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB CERTIFICATION FOR RBT",
            "identifier": "RBT-20-112380",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Anne Edwards, CRNP
• Melissa Marie Edwards, M.ED.; NCC; LPC
• Misty Bailey Edwards, BSN, RN, CWOCN
• Pauline Elkins Edwards, PH.D.
• Raven Edwards, RBT
• Rebecca E Edwards, CRNP
• Sandra S Edwards, P.T.
• Thalia Steele Edwards
• Thomas H. Edwards III, M.D.
• Efficient Medical, Inc

• Behavior Technician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Behavior Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.