Individual provider Active NPI

Victoria Edwards, BCBA

  • Behavior Analyst
  • Linwood, NJ
National Provider Identifier
1083249791
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-47795 Issued in NJ
Practice address
1515 Shore Rd
Linwood, NJ 08221-2349
Phone
(609) 970-5792
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-114418 NJ
Behavior Analyst 103K00000X 1-21-47795 NJ Primary

Addresses

Primary practice location

1515 Shore Rd
Linwood, NJ 08221-2349

Mailing address

6142 Oak St
Mays Landing, NJ 08330-3750
Phone (609) 970-5792

Other practice location 1

601 Clarks Landing Rd
Egg Harbor City, NJ 08215-3359
Phone (609) 970-5792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-20-114418NJMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Interactive Kids, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1083249791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6142 OAK ST",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083303750",
            "telephone_number": "609-970-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SHORE RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212349",
            "telephone_number": "609-970-5792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Clarks Landing Rd",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor City",
            "state": "NJ",
            "postal_code": "082153359",
            "country_code": "US",
            "telephone_number": "609-970-5792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": "RBT-20-114418",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-21-47795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.