Eden A Daniel

Individual provider Active NPI Behavior Technician · Jefferson City, TN

NPI 1891677845 · NPPES record last updated Jul 22, 2025

Key facts

NPI
1891677845
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
710 Commanche Dr
Jefferson City, TN 37760-5124
Phone
(865) 606-0912
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

710 Commanche Dr
Jefferson City, TN 37760-5124

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Other providers in Jefferson City, TN

All providers in Jefferson City, TN · Behavior Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.